Document Detail


Current diagnosis and treatment of interstitial pregnancy.
MedLine Citation:
PMID:  20096253     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The incidence of interstitial pregnancy is rising. Traditional treatment with laparotomy, hysterectomy, or cornual wedge resection is associated with high morbidity and detrimental effects on future fertility. A diverse array of alternate treatments has been introduced over the last 3 decades, with the common goal of achieving a minimally invasive, standardized management strategy. This has been facilitated by impressive strides towards prompt diagnosis, both radiologically and chemically. In this review, we explore the current state of the art diagnostic criteria and the clinically significant diverse therapeutic options with supporting literature. Finally, we propose a structured, best-practice management plan for the once-lethal interstitial pregnancy, based on the current literature.
Authors:
Nash S Moawad; Sangeeta T Mahajan; Michelle H Moniz; Sarah E Taylor; William W Hurd
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  202     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-01-25     Completed Date:  2010-03-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  15-29     Citation Subset:  AIM; IM    
Copyright Information:
2010 Mosby, Inc.
Affiliation:
Department of Obstetrics, Gynecology and Reproductive Sciences, Magee-Womens Hospital of the University of Pittsburgh Medical Center, PA, USA. moawadns@mail.magee.edu
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MeSH Terms
Descriptor/Qualifier:
Abortifacient Agents, Nonsteroidal / therapeutic use
Chorionic Gonadotropin, beta Subunit, Human / blood
Female
Humans
Laparoscopy
Methotrexate / therapeutic use
Pregnancy
Pregnancy Outcome
Pregnancy, Tubal / diagnosis*,  epidemiology,  surgery*,  ultrasonography
Risk Factors
Rupture, Spontaneous
Vagina / ultrasonography
Chemical
Reg. No./Substance:
0/Abortifacient Agents, Nonsteroidal; 0/Chorionic Gonadotropin, beta Subunit, Human; 59-05-2/Methotrexate

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