Ectopic pregnancy comparison of different treatments

Kopani, Fatmir and Rrugia, Arben and Manoku, Nikita (2010) Ectopic pregnancy comparison of different treatments. Journal of prenatal medicine, 4 (2). pp. 30-34. ISSN 1971-3290

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Abstract

Objectives We would like to determine the best treatment option depending of ectopic pregnancy situation. METHODS. This is a retrospective and cohort study that registered all women admitted in Obstetrics and Gynecologic “Queen Geraldine” Hospital during June 2003 until 2008. There are admitted 228 women diagnosed with Ectopic Pregnancy that are 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 regarding β-hCG level. This treatment 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 very low 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 not high β-hCG level (β-hCG < 5000 mlU/mL). It is confirmed that the reduce rate of 15% of β-hCG in the fourth day after application of MTX is a success guide.

Item Type:	Article
Uncontrolled Keywords:	Ectopic pregnancy, β-hCG, MTX, ultrasound
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 618 Altri rami della medicina; Ginecologia e ostetricia, Pediatria, Geriatria > 618.3 Malattie e complicazioni della gravidanza
Depositing User:	Gianni Aiello
Date Deposited:	30 Apr 2013 09:37
Last Modified:	16 May 2013 12:25
URI:	http://eprints.bice.rm.cnr.it/id/eprint/5000

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