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Ectopic pregnancy management plan in king Abdulaziz university hospital

Author: 
Dr. Ayman A Bukhari
Subject Area: 
Health Sciences
Abstract: 

Introduction: Ectopic pregnancy is one of the most important complications due to its role in increasing maternal morbidity and mortality. Early diagnosis provides more chances to treat it without complications. Aim: This study aimed to evaluate management plan of ectopic pregnancy Method: This retrospective study screened the medical records of all women admitted to ER department at King abdulaziz University hospital as an ectopic case throughout 2012-2014. Results: 120 patients were eligible and were included in this study. The mean age was 29.9±5.7 years. The mean of gravidity was 3.5±2.7. Thirty six (30%) cases had history of Pelvic Surgery and 21 (17.5%) had History of CS. All the 120 cases were admitted through emergency room (ER), 71 (60.7 %) had Vaginal Bleeding. Of the patients, 19 (15.8%) had expectant management, 42 (35%) received Methotrexate, 40 (33.3%) had laparoscopy & 18 (15%) had Laparotomy. Conclusions: The treatment would be determined by the association of three main factors: clinical symptoms, ultrasound examination and β-hCG levels. Methotrexate is recommended for all womenwithout hemodynamic problems, unruptured pregnancyand low β-hCG. The earlier EP diagnosis the greater the chances of reducing maternal morbidity and mortality rate.

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