Sonographic diagnosis and successful medical management of an intramural ectopic pregnancy

2010 ◽  
pp. NA-NA ◽  
Author(s):  
Clara Ong ◽  
Lin-Lin Su ◽  
Dawn Chia ◽  
Mahesh Choolani ◽  
Arijit Biswas
Keyword(s):  
Ectopic Pregnancy ◽  
Medical Management ◽  
Sonographic Diagnosis

Sonographic diagnosis of an abdominal ectopic pregnancy.

1990 ◽  
Vol 155 (1) ◽  
pp. 197-198 ◽  
Author(s):  
O Akhan ◽  
S Cekirge ◽  
S Senaati ◽  
A Besim
Keyword(s):  
Ectopic Pregnancy ◽  
Sonographic Diagnosis

Medical management of a cervical ectopic pregnancy

2005 ◽  
Vol 25 (1) ◽  
pp. 82-83 ◽  
Author(s):  
R Gosakan ◽  
S Arutchelvam ◽  
HH Gergis ◽  
E Emovon
Keyword(s):  
Ectopic Pregnancy ◽  
Medical Management ◽  
Cervical Ectopic Pregnancy

Medical management of ectopic pregnancy in a family planning clinic: a case series

Contraception ◽  
2022 ◽  
Author(s):  
Anna K Cardall ◽  
Janet C Jacobson ◽  
Sarah Prager ◽  
Anne N Flynn ◽  
Jennefer Russo
Keyword(s):  
Family Planning ◽  
Ectopic Pregnancy ◽  
Medical Management ◽  
Case Series ◽  
Family Planning Clinic

scholarly journals Medical Management of Ectopic Pregnancy: An Observational Study

2016 ◽  
Vol 29 (1) ◽  
pp. 32-36
Author(s):  
Shahana Begum ◽  
Rowshan Akhtar
Keyword(s):  
Single Dose ◽  
Observational Study ◽  
Medical Treatment ◽  
Ectopic Pregnancy ◽  
Medical Management ◽  
Progesterone Level ◽  
Fertility Treatment ◽  
Intrauterine Pregnancy ◽  
College Hospital ◽  
Serum Progesterone

Objectives: The aim of this study was to explore the safety and efficacy of medical management of ectopic pregnancy.Materials and methods: This prospective observational study was conducted between February 2011 to August 2013 in Chittagong Medical College Hospital (CMCH) and in different private clinics of Chittagong city. Twenty-seven patients of ectopic pregnancy conceived by fertility treatment were recruited for medical treatment after proper evaluation. Ectopic pregnancy was diagnosed by serum ?-hCG and progesterone level but missing intrauterine pregnancy by transabdominal sonography (TAS). Serum ?-hCG was repeated after 48 hours to observe doubling of the level. If level was not doubled or increment was not at least 66% and serum progesterone level was less than 15ng/ml then it was considered as ectopic pregnancy. Patients were treated with Injection methotrexate 50 mg intramuscularly either by single dose or two doses. After 4 days of 1st injection ?-hCG was repeated and if level decreased > 15% then patients were assessed weekly till ?-hCG fell to <5lU/L. If drop was <15% after 4 days a second dose of methotrexate was given.Results: Overall success rate was 66.66% . Surgical intervention was needed in 22.22% patients. All patients were treated after hospitalization in CMCH and different private clinics of Chittagong. They got injection methotrexate, antibiotic, antispasmodic and analgesics for abdominal pain. Single dose cured 55.55% patients and 11.11% patients needed second dose, another 11.11% patients were misdiagnosed –later on they were diagnosed as intrauterine pregnancy and medical termination was done. Within one year of treatment 33.33% patients conceived again. There was no side effect or complications of the treatment.Conclusion: This small trial gave a good impression about medical treatment in selective cases. The efficacy should be assessed in a randomized clinical trial with a different set of populationBangladesh J Obstet Gynaecol, 2014; Vol. 29(1) : 32-36

scholarly journals Non-surgical management of unruptured tubal ectopic pregnancy

2017 ◽  
Vol 6 (7) ◽  
pp. 3041
Author(s):  
Anjali Choudhary ◽  
Priyanka Chaudhari ◽  
Neeta Bansal
Keyword(s):  
Ectopic Pregnancy ◽  
Medical Management ◽  
Expectant Management ◽  
First Trimester ◽  
Response To Treatment ◽  
Surgical Trauma ◽  
Tubal Ectopic Pregnancy ◽  
Beta Hcg ◽  
Surgical Options ◽  
Ectopic Pregnancies

Background: Ectopic pregnancy is still the leading cause of pregnancy related morbidity in the first trimester. Since majority of the women who present with ectopic pregnancies are sub fertile and young, there is a role for non-surgical options of managing these pregnancies. Expectant and medical management not only serves to conserve the fallopian tubes but also saves women from surgical trauma and morbidity. The objective of this retrospective study was to share our experience of treating un-ruptured tubal ectopic pregnancies conservatively.Methods: Women diagnosed with un-ruptured tubal ectopic pregnancy, fit for conservative /medical management were included. Women with serum beta HCG levels less than 1000 mIU/L were treated expectantly and women with Bet HCG levels >1000 but <10,000 mIU /L were given Injectable methotrixate. Response to treatment was monitored by serial beta HCG levels.Results: Total 37 women included in the study.12% women showed complete resolution with expectant treatment alone and 88% resolved after a single dose methotrixate.Conclusions: Many women with un-ruptured tubal ectopic pregnancies would benefit from expectant management, or methotrixate therapy. Methotrixate used in carefully selected women is safe and effective in resolving these cases with good post treatment reproductive outcome.

Miscellaneous topics in gynaecology

2016 ◽  
Author(s):  
Stergios K. Doumouchtsis ◽  
S. Arulkumaran ◽  
Maya Basu ◽  
Claudine Domoney ◽  
Stergios K. Doumouchtsis ◽  
...  
Keyword(s):  
Sexual Assault ◽  
Ectopic Pregnancy ◽  
Pelvic Inflammatory Disease ◽  
Urinary Retention ◽  
Genital Herpes ◽  
Inflammatory Disease ◽  
Emergency Surgery ◽  
Medical Management ◽  
Prophylactic Antibiotics

This chapter outlines miscellaneous topics in gynaecology, such as urinary retention, sexual assault (including incidence, risks, examination, and management), and pharmacotherapeutics in gynaecology (drugs used in the treatment of pelvic inflammatory disease (PID), prophylactic antibiotics for emergency surgery, genital herpes, menorrhagia and dysmenorrhoea, and medical management of ectopic pregnancy and miscarriage).

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