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01-10-2013 | Reproductive Medicine

Ectopic pregnancy: a review

Authors: Poonam Rana, Imran Kazmi, Rajbala Singh, Muhammad Afzal, Fahad A. Al-Abbasi, Ali Aseeri, Rajbir Singh, Ruqaiyah Khan, Firoz Anwar

Published in: Archives of Gynecology and Obstetrics | Issue 4/2013

Abstract

Purpose

Ectopic pregnancy (EP) presents a major health problem for women of child-bearing age. EP refers to the pregnancy occurring outside the uterine cavity that constitutes 1.2–1.4 % of all reported pregnancies. All identified risk factors are maternal: pelvic inflammatory disease, Chlamydia trachomatis infection, smoking, tubal surgery, induced conception cycle, and endometriosis. These developments have provided the atmosphere for trials using methotrexate as a non-surgical treatment for EP. The diagnosis measure of EP is serum human chorionic gonadotropin, urinary hCGRP/i-hCG, progesterone measurement, transvaginal ultrasound scan, computed tomography, vascular endothelial growth factor, CK, disintegrin and metalloprotease-12 and hysterosalpingography. The treatment option of EP involves surgical treatment by laparotomy or laparoscopy, medical treatment is usually systemic or through local route, or by expectant treatment.

Results

It was concluded that review data reflect a decrease in surgical treatment and not an actual decline in EP occurrence so that further new avenues are needed to explore early detection of the EP.

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Title: Ectopic pregnancy: a review
Authors: Poonam Rana
Imran Kazmi
Rajbala Singh
Muhammad Afzal
Fahad A. Al-Abbasi
Ali Aseeri
Rajbir Singh
Ruqaiyah Khan
Firoz Anwar
Publication date: 01-10-2013
Publisher: Springer Berlin Heidelberg
Published in: Archives of Gynecology and Obstetrics / Issue 4/2013
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-013-2929-2

At a glance: The STEP trials

Springer Medicine

Ectopic pregnancy: a review

Abstract

Purpose

Results

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Results

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