Document Detail


A ten year survey of 193 ectopic pregnancies.
MedLine Citation:
PMID:  12316337     Owner:  PIP     Status:  MEDLINE    
Abstract/OtherAbstract:
During the period 1977-86, 193 women underwent surgery for ectopic pregnancy in the Medway Health District. 1 ectopic pregnancy was found for every 233 deliveries, an incidence of 0.43%, with a rising trend. The most common presenting symptom was abdominal pain (96%) and the most frequent physical finding was abdominal tenderness (91%). Past histories of appendicectomy (24%), infertility (19%), use of IUD (15%), and pelvic infection (13%) were elicited. In 95% of the cases, the pregnancy was tubal. 56% of the patients required blood transfusions and there were no maternal deaths. These findings confirm the rising incidence of ectopic pregnancy. During the study period, the diagnosis and management of ectopic pregnancy have changed significantly. The early use of plasma hCG, ultrasonography, and laparoscopy decreases the morbidity and mortality associated with ectopic pregnancy, allowing conservative tubal surgery when indicated.
Authors:
E S Dimitry
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of obstetrics and gynaecology     Volume:  9     ISSN:  -     ISO Abbreviation:  J Obstet Gynaecol (Lahore)     Publication Date:  1989  
Date Detail:
Created Date:  1991-04-15     Completed Date:  1991-04-15     Revised Date:  2007-10-03    
Medline Journal Info:
Nlm Unique ID:  0376607     Medline TA:  J Obstet Gynaecol (Lahore)     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  309-13     Citation Subset:  J    
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MeSH Terms
Descriptor/Qualifier:
Biology
Chorionic Gonadotropin*
Contraception
Developed Countries
Diagnosis*
Disease
Endocrine System
Endoscopy
England
Europe
Family Planning Services
Gonadotropins
Great Britain
Hormones
Incidence*
Intrauterine Devices*
Laboratory Techniques and Procedures*
Laparoscopy*
Physical Examination
Physiology
Pregnancy Complications
Pregnancy, Ectopic*
Pregnancy, Tubal*
Research
Research Design
Signs and Symptoms*
Ultrasonics*
Chemical
Reg. No./Substance:
0/Chorionic Gonadotropin; 0/Gonadotropins; 0/Hormones

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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