First descriptions of ectopic pregnancy in England date back to 1731 when Gifford described implantation of a pregnancy outside the uterine cavity. Charles Meigs provided particularly vivid descriptions of severe cases of ectopic pregnancy in the mid-nineteenth century, when ectopic pregnancy was considered to be a rare, but universally fatal condition. With the improvements in surgical techniques at the turn of the twentieth century ectopic pregnancy became curable . However, it was still considered a very serious problem with high mortality rates. This perception has changed only recently with the increased ability to establish the diagnosis of ectopic pregnancy non-invasively in women with minimal clinical symptoms. Although there has been a massive increase in the incidence of ectopic pregnancy in recent years, the mortality of the disease has been static . Therefore the main challenge in modern clinical practice is to identify and treat as early as possible cases of ectopic pregnancy with the potential to cause serious morbidity and death, and at the same time to minimize interventions in those destined to be resolved without causing any harm.
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The first trimester is very important for the mother and the baby. For most women it is common to find out about their pregnancy after they have missed their menstrual cycle. Since, not all women note their menstrual cycle and dates of intercourse, it may cause slight confusion about the exact date of conception. That is why most women find out that they are pregnant only after one month of pregnancy.