Spontaneous resolution of ectopic tubal pregnancy: natural history.
Fertil Steril
; 63(1): 15-9, 1995 Jan.
Article
in En
| MEDLINE
| ID: mdl-7805905
ABSTRACT
OBJECTIVE:
To determine the characteristics and long-term outcome of women succeeding or failing expectant management of ectopic pregnancy (EP).DESIGN:
Prospective, defined protocol.SETTING:
University-affiliated gynecology department. PATIENTS We used a protocol that selected women with laparoscopic confirmed ectopic tubal pregnancy and declining plasma hCG values. Over a 5-year period, 60 women representing 20.1% of EPs fulfilled the inclusion criteria. Women were followed with serial hCG testing and transvaginal ultrasound. MAIN OUTCOMEMEASURE:
Success or failure of expectant management.RESULTS:
Expectant management was successful in 28 (47.7%) of the patients. Thirty-two (53.3%) failed expectant management, and a treatment procedure was required. There was no difference in the resultant ipsilateral tubal patency or 1-year fertility rates of those women succeeding or failing expectant management. Analysis showed that in the face of declining values and with a starting hCG > 2,000 mIU/mL (conversion to SI unit, 1.00), 93.3% failed expectant management, whereas < 2,000 mIU/mL, 60.0% succeeded.CONCLUSION:
We conclude that expectant management should be offered as a treatment option only in those women fulfilling the criteria for a good prognosis.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pregnancy, Ectopic
Type of study:
Diagnostic_studies
/
Guideline
/
Observational_studies
/
Prognostic_studies
Limits:
Female
/
Humans
/
Pregnancy
Language:
En
Journal:
Fertil Steril
Year:
1995
Type:
Article
Affiliation country:
Israel