Ectopic pregnancy (EP) is rare. It occurs in 1 or 2 out of 100 pregnancies in the general population, and the rate is consistently lower among those seeking abortion. It is recommended that patients undergo ultrasound if they have significant medical risk factors, signs or symptoms of EP[6].

Significant risk factors, signs and symptoms of EP include[6]:

• Previous ectopic pregnancy.
• IUD in place.
• Pregnancy conceived with assisted reproduction techniques.
• Previous surgery of the fallopian tubes such as tubal ligation.
• History of salpingitis or pelvic inflammatory disease.
• Symptoms of abdominal pain and vaginal bleeding.

Multiple pregnancies is not a contraindication to medication abortion (MA), however the presence of multiples should be communicated to the patient if they agree to obtain information about the pregnancy[6].

Missed and incomplete abortion should also be disclosed to the patients if they agree to obtain information about the ultrasound and should be managed either by MA or procedural abortion[6].

In case of molar pregnancy, procedural abortion with consideration for referral, histological review and follow-up of βhCG is essential, and MA is not appropriate[6].