Document Detail


Ectopic pregnancy comparison of different treatments.
MedLine Citation:
PMID:  22439058     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: We would like to determine the best treatment option depending of ectopic pregnancy situation.Methods. This is a retrospective cohort study that registered all women admitted in Obstetrics and Gynecologic "Queen Geraldine" Hospital June 2003 until 2008 dicember. There were admitted 228 women diagnosed with Ectopic Pregnancy that were treated in our Hospital.
RESULTS: Unruptured ectopic pregnancy is diagnosed in 5,2 week of pregnancy and ruptured ectopic in an average of 6,4 weeks. Surgical intervention is registered in 170 patients and we did tubectomy. Success rate of Methotrexate application was more successful if β-hCG level was lower. If the β-hCG level is higher over 10 000 the success rate will decrease in 83 % and in β-hCG levels over 15 000 the success rate will be until 50%.
CONCLUSIONS: The treatment will be determined by combination of clinical symptoms, ultrasound examination and β-hCG levels. MTX is recommended for all women without hemodinamic problems, unruptured pregnancy and low β-hCG level (β-hCG < 5000 mlU/mL). It is confirmed that the reduction of 15% of β-hCG in the fourth day after application of MTX is a success guide.
Authors:
Fatmir Kopani; Arben Rrugia; Nikita Manoku
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of prenatal medicine     Volume:  4     ISSN:  1971-3290     ISO Abbreviation:  J Prenat Med     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2012-03-22     Completed Date:  2012-08-23     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101522906     Medline TA:  J Prenat Med     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  30-4     Citation Subset:  -    
Affiliation:
Obstetrics-Gynecologic University Hospital"Queen Geraldine" of Tirana, Albanie.
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