Diagnosis and management of ectopic pregnancy.
نویسندگان
چکیده
Ectopic pregnancy remains to be an important cause of maternal morbidity and mortality worldwide, although the incidence has remained unchanged especially in developed countries over the last decade. Several factors are responsible for this, including misdiagnosis and failure to institute timely appropriate treatment aimed at preserving fertility and minimizing the associated morbidity. Recent advances in imaging and biomonitoring have reduced the number of women presenting with ruptured ectopic pregnancy. Any attempt to reduce the consequences of ectopic pregnancies must, therefore, focus on improving the diagnosis of the unruptured type and evidenced-based treatment, which is cost effective. In this review, the authors discuss the diagnosis and treatment of this complication in the light of the recent evidence highlighting how improvements can be made to reduce the consequences.
منابع مشابه
Successful Management of Cervical Ectopic Pregnancy: A Case Report
Background: Cervical ectopic pregnancy is a rare condition with an incidence of less than 0.1% in all ectopic pregnancies. This life-threatening condition is associated with a high morbidity and mortality rates. Recently, the recommended protocol for the treatment of cervical ectopic pregnancy is fertility preservation rather than invasive surgery and hysterectomy. The aim of t...
متن کاملCervical Ectopic Pregnancy with Placenta Percreta and Gross Hematuria: A Case Report
Background & aim: Cervical ectopic pregnancy is a rare variant of ectopic pregnancy, and placenta percreta is a complex and dangerous condition; patients with these conditions are difficult to manage. In this study, we present a rare case of placenta percreta in cervical pregnancy. Case report: A 32 -year-old woman with 19 weeks of gestation and gross hematuria was admitted to Qaem Hospital in ...
متن کاملEctopic Pregnancy in Cesarean Section Scar
Pregnancy implantation within the scar of a previous cesarean delivery is one of the rarest locations for an ectopic pregnancy. Early diagnosis of this condition with the use of ultrasound imaging allows for preserving the uterus and subsequent fertility. However, a delay in either diagnosis or treatment can lead to uterine rupture, hysterectomy and significant maternal morbidity. With increasi...
متن کاملSpontaneous Unruptured Bilateral Tubal Pregnancy: A Case Report
Bilateral spontaneous tubal ectopic pregnancy is the rarest form of extra uterine pregnancy. The diagnosis is usually made intraoperatively and levels of serum BHCG and ultrasound has not been useful in the diagnosis of bilateral tubal ectopic pregnancy.A 33-year-old woman with 8 weeks amenorrhea and sever lower abdominal pain was admitted. A transvaginal pelvic ultrasound revealed left adnexal...
متن کاملEctopic Pregnancy at the Site of Previous Cesarean Section: A Case Report
Pregnancy at the site of cesarean section is an uncommon form of ectopic pregnancy which is associated with delayed diagnosis and late treatment may cause maternal mortality. This paper reports an ectopic pregnancy on the site of an earlier cesarean section. The patient is a 33-year-old woman with history of a normal delivery and a cesarean section and a uterine curettage in the past year who c...
متن کاملRisk factors assoicated with increased the chance of ectopic pregnancy
Introduction: Ectopic Pregnancy (EP) is one of the most common causes of maternal mortality. The aim of this study was to evaluate the risk factors that increase the chances of ectopic pregnancy. Materials and Methods: This case-control study was performed in the hospitals of Shahroud University of Medical Sciences in 2018 by census method. Pregnant women who were hospitalized with suspected ec...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- American family physician
دوره 90 1 شماره
صفحات -
تاریخ انتشار 1951