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- W2085510913 abstract "To assess the diagnosis and management of ectopic pregnancies (EPs) presenting to the Early Pregnancy Unit of a London teaching hospital over a 4-year period. This was a prospective observational study on all women presenting with and undergoing treatment for an EP between the 15 February 2002 and 15 February 2006. Presenting complaints, maternal age, past obstetric history, gestational age, transvaginal ultrasound (TVS) findings, serum hCG and progesterone levels (0 h and 48 h) and the management were recorded. Management was expectant, medical (single-dose methotrexate 50 mg/m2) or surgical depending on the clinical state of the woman, the level of serum hCG and the presence or absence of hemoperitoneum on TVS. Some 17 092 women were scanned during the study period; 465 (2.7%) women were diagnosed with an EP. There were 422 (90.8%) unilateral tubal EPs, one (0.2%) bilateral tubal EP, six (1.3%) heterotopic pregnancies, 12 (2.6%) interstitial pregnancies, two (0.4%) cervical pregnancies and seven (1.5%) Cesarean section scar pregnancies. Fifteen women (3.2%) thought to have an EP according to the ultrasound findings went on to have a negative laparoscopy. Some 411 of the women with tubal EPs underwent TVS, of whom 94% (388/411) had their EPs visualized before treatment. In all, 11% (44/411) of the tubal EPs were managed expectantly with a success rate of 66% (29/44) and 17% (71/411) were managed medically with a success rate of 72% (51/71). Some 307 women were managed surgically; 90% (276/307) of procedures were laparoscopic. There were 280 salpingectomies, 18 salpingostomies and nine women were diagnosed with a tubal miscarriage at the time of surgery. More than 90% of EPs can be diagnosed on TVS before treatment. Conservative management strategies should be a real option for stable women with EP; however, if surgery is to be performed, 90% of cases can and should be managed laparoscopically." @default.
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- W2085510913 date "2007-09-21" @default.
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- W2085510913 title "OC58: Ectopic pregnancy diagnosis and management: a 4-year experience" @default.
- W2085510913 doi "https://doi.org/10.1002/uog.4164" @default.
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