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Ectopic Pregnancy

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3601. Ectopic Pregnancy

pregnancy increases the risk. Intrauterine contraceptive device (IUCD) use. IUCDs reduce the risk of ectopic pregnancy compared to using no contraception. The risk of ectopic pregnancy with an IUCD or intrauterine system (IUS) in situ is around 1 in 1,000 over five years. [ ] However, where an IUCD fails, the risk of a pregnancy being ectopic is very high, with some studies showing half of pregnancies in this situation being ectopic. [ ] Women becoming pregnant whilst using progestogen-only (...) Ectopic Pregnancy Ectopic Pregnancy. Early pregnancy complication, causes | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Ectopic Pregnancy Authored by , Reviewed by | Last edited 23 Dec 2015 | Certified by This article is for Medical Professionals Professional Reference articles are designed for health professionals to use. They are written by UK doctors and based on research evidence, UK and European

2008 Mentor

3602. A Case of Intrauterine Molar Pregnancy with Coexistent Ectopic Pregnancy. (Abstract)

A Case of Intrauterine Molar Pregnancy with Coexistent Ectopic Pregnancy. We describe a woman who presented to the Emergency Department (ED) with vaginal bleeding and abdominal pain. She was initially diagnosed by the emergency physician with a molar pregnancy by transvaginal ultrasound, which was confirmed and treated by the consulting obstetrical service with a dilatation and curettage the following day. The patient was discharged home later that same day and subsequently returned to the ED (...) after several hours complaining of an acute worsening of her abdominal pain with associated fatigue and lightheadedness. Transabdominal ultrasound performed by the emergency physician demonstrated intra-abdominal free fluid, and the obstetrical service was immediately contacted. Subsequent operative management identified a separate ruptured ectopic pregnancy in the fallopian tube that was confirmed by pathologic analysis after laparoscopic removal.

2008 Journal of Emergency Medicine

3603. Ultrasound diagnosis of ectopic pregnancy in the non-communicating horn of a unicornuate uterus (cornual pregnancy). (Abstract)

Ultrasound diagnosis of ectopic pregnancy in the non-communicating horn of a unicornuate uterus (cornual pregnancy). To prospectively evaluate ultrasound criteria for the diagnosis of pregnancy in the rudimentary horn of a unicornuate uterus (cornual pregnancy).This was a prospective observational study over a period of 90 months in a tertiary referral center in a London teaching hospital. A diagnosis of cornual pregnancy was made when all the following ultrasound criteria were met: (1 (...) ) a single interstitial portion of Fallopian tube in the main uterine body; (2) a gestational sac, mobile and separate from the uterus, surrounded by myometrium; and (3) a vascular pedicle joining the gestational sac to the unicornuate uterus. In cases where the ultrasound criteria were met the pregnancy was followed up and the final outcome was recorded, including operative and histological findings.Over the study period eight cases of cornual pregnancy were diagnosed. Six women had a single case

2007 Ultrasound in Obstetrics and Gynecology

3604. Preventing ectopic pregnancies: how often does transperitoneal transmigration of sperm occur in effecting human pregnancy? (Abstract)

Preventing ectopic pregnancies: how often does transperitoneal transmigration of sperm occur in effecting human pregnancy? Transperitoneal transmigration of sperm constitutes the mechanism by which ectopic pregnancies occur in unilaterally obstructed fallopian tubes. This study was undertaken to determine how often sperm transmigrate across the peritoneal cavity to effect human pregnancy.In women with non-communicating rudimentary uterine horn pregnancies, the ratio of total uterine horn (...) the prior parity frequency distribution, the best-fit probability of attaining a rudimentary horn gestation per-pregnancy was 0.51 (95% CI 0.48-0.56).Intraperitoneal sperm transmigration occurs approximately half the time in effecting spontaneous human pregnancies. To minimise the risk of ectopic tubal pregnancy in woman with unilaterally damaged fallopian tubes, salpingectomy should be the preferred surgical treatment, rather than attempting tubal salvage and repair.

2004 BJOG

3605. Heterotopic pregnancy after 2 prior ectopic pregnancies: a case report. (Abstract)

Heterotopic pregnancy after 2 prior ectopic pregnancies: a case report. Heterotopic pregnancy is a rare occurrence, with spontaneous pregnancy often unsuspected and associated with delayed diagnosis. When previous ectopic pregnancy has been treated, future pregnancy is associated with an increased risk for ectopic pregnancy and potentially heterotopic pregnancy. Conservative treatment for ectopic pregnancy with either surgery or methotrexate leaves the patient with hope for potential future (...) fertility, especially when assisted reproductive technology is not available.A woman who had been treated for ectopic pregnancy in both fallopian tubes presented with a spontaneous heterotopic pregnancy.Heterotopic pregnany may occur after treatment of previous ectopic pregnancy and may lead to a successful outcome when diagnosed and treated appropriately.

2006 Journal of Reproductive Medicine

3606. Risk factors for ectopic pregnancy in women with symptomatic first-trimester pregnancies. (Abstract)

Risk factors for ectopic pregnancy in women with symptomatic first-trimester pregnancies. To evaluate the association between ectopic pregnancy (EP) and clinical and historical factors among women presenting with pain and/or bleeding in early pregnancy.Nested case-control study.University medical center.Women with symptomatic early pregnancies of unknown location presenting for care between January 1, 1990 and July 31, 1999.None.Clinical and historical risk factors were compared between women (...) with EP and women with ongoing intrauterine pregnancies or spontaneous abortions.The following factors were associated with increased risk of EP: prior EP (odds ratio, 2.98 [95% confidence interval, 1.88-4.73] for one prior EP and 16.04 [5.39-47.72] for 2 or more), pelvic inflammatory disease history (1.5 [1.11-2.05]), pain at presentation (1.42 [1.06-1.92]), vaginal bleeding at presentation (1.42 [1.04-1.93]), and hCG of 501-2,000 mIU/mL (1.73 [1.24-2.42]). Age younger than 25 years (0.59 [0.41-0.85

2006 Fertility and Sterility

3607. Ectopic pregnancy in a preexisting hydrosalpinx during a spontaneous pregnancy. (Abstract)

Ectopic pregnancy in a preexisting hydrosalpinx during a spontaneous pregnancy. To discuss the possible role of abnormal embryo migration as a cause of ectopic pregnancy during IVF with hydrosalpinges.Case report.University-based reproductive endocrinology and fertility clinic.A patient presenting with a tubal ectopic pregnancy after spontaneous conception in a preexisting hydrosalpinx.Laparoscopic salpingectomy.Ultrasound and operative findings.Case demonstration of abnormal embryo migration (...) into a surgically documented preexisting hydrosalpinx during a spontaneous conception.The mechanism of increased tubal ectopic pregnancy rates during IVF with hydrosalpinges remains unexplained. This case supports abnormal embryo migration due to the hydrosalpinx as a contributing factor.

2006 Fertility and Sterility

3608. Maternal life events and adverse pregnancy outcomes: lessons from the Auvergne ectopic pregnancy registry. (Abstract)

Maternal life events and adverse pregnancy outcomes: lessons from the Auvergne ectopic pregnancy registry. To investigate stressful maternal life events as candidate risk factors for ectopic pregnancy.Population-based registry study.Auvergne ectopic pregnancy registry (France).Women (n = 641) registered between 1997 and 2000.Standard treatment of ectopic pregnancy.Based on the Psychiatric Epidemiology Life Events Scale, we analyzed the nonresponse bias, the confounding effects (...) of sociobehavioral factors associated with both life events and ectopic pregnancy, and the potential buffering effects of socio-cultural variables. A multivariate model was constructed to test the association between life events and ectopic pregnancy, adjusting for identified confounders and testing interactions.The primary hypothesis that life events might be independent risk factors for ectopic pregnancy was not confirmed in this study, which nevertheless illustrated the numerous biases and measurement

2004 Fertility and Sterility

3609. Why are some ectopic pregnancies characterized as pregnancies of unknown location at the initial transvaginal ultrasound examination? (Abstract)

Why are some ectopic pregnancies characterized as pregnancies of unknown location at the initial transvaginal ultrasound examination? To compare the appearance and behavior of ectopic pregnancies (EPs) initially classified as pregnancies of unknown location (PULs) to those visualized on the initial transvaginal ultrasound scan (TVS).An observational study over a four-year period on women undergoing a TVS prior to diagnosis of a tubal EP. Demographic details, presenting symptoms, TVS findings

2008 Acta Obstetricia et Gynecologica Scandinavica

3610. Diagnostic accuracy of varying discriminatory zones for the prediction of ectopic pregnancy in women with a pregnancy of unknown location. (Abstract)

Diagnostic accuracy of varying discriminatory zones for the prediction of ectopic pregnancy in women with a pregnancy of unknown location. Various serum human chorionic gonadotropin (hCG) discriminatory zones are currently used for evaluating the likelihood of an ectopic pregnancy in women classified as having a pregnancy of unknown location (PUL) following a transvaginal ultrasound examination. We evaluated the diagnostic accuracy of discriminatory zones for serum hCG levels of > 1000 IU/L (...) , 1500 IU/L and 2000 IU/L for the detection of ectopic pregnancy in such women.This was a prospective observational study of women who were assessed in a specialized transvaginal scanning unit. All women with a PUL had serum hCG measured at presentation. Expectant management of PULs was adopted. These women were followed up with transvaginal ultrasound, monitoring of serum hormone levels and laparoscopy until a final diagnosis was established: a failing PUL, an intrauterine pregnancy (IUP

2005 Ultrasound in Obstetrics and Gynecology

3611. Prediction of ectopic pregnancy in women with a pregnancy of unknown location. (Abstract)

Prediction of ectopic pregnancy in women with a pregnancy of unknown location. We have previously published on the use of mathematical Model M1 to predict ectopic pregnancy in women with no signs of intra- or extrauterine pregnancy. The aim of this study was to improve on the performance of this model for the detection of developing ectopic pregnancies in women with pregnancies of unknown location (PULs). We therefore generated and evaluated a new logistic regression model from simple hormonal (...) data and compared it with Model M1.Data were collected prospectively from women classified as having a PUL. These women were followed until the diagnosis was established as: a failing PUL, an intrauterine pregnancy (IUP) or an ectopic pregnancy. A multinomial logistic regression model, Model M4, was developed on 201 training cases and it was tested prospectively on another 175 women with a PUL. M4 performance was evaluated using receiver-operating characteristics (ROC) curves and compared

2007 Ultrasound in Obstetrics and Gynecology

3612. The value of vascular endothelial growth factor, pregnancy-associated plasma protein-A, and progesterone for early differentiation of ectopic pregnancies, normal intrauterine pregnancies, and spontaneous miscarriages. (Abstract)

The value of vascular endothelial growth factor, pregnancy-associated plasma protein-A, and progesterone for early differentiation of ectopic pregnancies, normal intrauterine pregnancies, and spontaneous miscarriages. To evaluate the capacity of vascular endothelial growth factor (VEGF), pregnancy-associated plasma protein-A (PAPP-A), and progesterone (P) to discriminate ectopic pregnancies (EP) from nonectopic ones.Prospective, case-controlled study.Tertiary care center.Twenty-nine women (...) with EP, 29 women with normal intrauterine pregnancy (nIUP), and 28 women with spontaneous miscarriage, all matched for gestational age.Serum samples were obtained.Serum concentrations of VEGF, PAPP-A, and P were measured.Serum VEGF concentrations did not show statistically significant differences among women with EP (median, 55.24 pg/mL; range, 0.20-179.24), spontaneous miscarriages (median, 26.24 pg/mL; range, 0.22-365.24), and nIUP (median, 43.24 pg/mL; range, 0.86-101.24). The median level of P

2008 Fertility and Sterility

3613. Reproductive outcome after treatment of ectopic pregnancy with local injection of hypertonic glucose. (Abstract)

Reproductive outcome after treatment of ectopic pregnancy with local injection of hypertonic glucose. 9292648 1997 09 22 2006 11 15 0001-6349 76 7 1997 Aug Acta obstetricia et gynecologica Scandinavica Acta Obstet Gynecol Scand Reproductive outcome after treatment of ectopic pregnancy with local injection of hypertonic glucose. 703-5 Hordnes K K Department of Obstetrics and Gynecology, Haukeland University Hospital, Bergen, Norway. eng Clinical Trial Comparative Study Journal Article Randomized (...) Controlled Trial United States Acta Obstet Gynecol Scand 0370343 0001-6349 0 Glucose Solution, Hypertonic IM Adult Female Glucose Solution, Hypertonic administration & dosage Humans Laparoscopy Pregnancy Pregnancy Outcome Pregnancy, Ectopic drug therapy Pregnancy, Tubal drug therapy Treatment Outcome Ultrasonography, Prenatal 1997 8 1 0 0 1997 9 18 0 1 1997 8 1 0 0 ppublish 9292648

1997 Acta Obstetricia et Gynecologica Scandinavica Controlled trial quality: uncertain

3614. Laparoscopic Surgery for Ectopic Pregnancy Full Text available with Trip Pro

Laparoscopic Surgery for Ectopic Pregnancy 18750727 2010 06 30 2018 11 13 0093-0415 152 4 1990 Apr The Western journal of medicine West. J. Med. Laparoscopic surgery for ectopic pregnancy. 411 Adamson G D GD eng Journal Article United States West J Med 0410504 0093-0415 1990 4 1 0 0 1990 4 1 0 1 1990 4 1 0 0 ppublish 18750727 PMC1002369 Fertil Steril. 1989 Apr;51(4):559-67 2466703 Int J Fertil. 1989 Mar-Apr;34(2):93-4, 97-100 2565320 J Reprod Med. 1989 May;34(5):324-38 2659790 Obstet Gynecol

1990 Western Journal of Medicine

3615. Flow cytometric DNA in ectopic pregnancy. Full Text available with Trip Pro

Flow cytometric DNA in ectopic pregnancy. 2262574 1991 02 01 2018 11 13 0021-9746 43 11 1990 Nov Journal of clinical pathology J. Clin. Pathol. Flow cytometric DNA in ectopic pregnancy. 963 Aine R R Karikoski-Leo R R Heinonen P K PK eng Letter England J Clin Pathol 0376601 0021-9746 9007-49-2 DNA AIM IM Aneuploidy DNA analysis Female Flow Cytometry Humans Pregnancy Pregnancy, Ectopic genetics 1990 11 1 1990 11 1 0 1 1990 11 1 0 0 ppublish 2262574 PMC502917 Am J Obstet Gynecol. 1970 Aug 15;107(8

1990 Journal of Clinical Pathology

3616. A Better Test For Ectopic Pregnancy? Full Text available with Trip Pro

A Better Test For Ectopic Pregnancy? 21286504 2013 07 04 2018 11 13 0008-350X 28 1982 Sep Canadian family physician Medecin de famille canadien Can Fam Physician A better test for ectopic pregnancy? 1464-7 Tennenhouse R R eng Journal Article Canada Can Fam Physician 0120300 0008-350X 2011 2 3 6 0 1982 9 1 0 0 1982 9 1 0 1 ppublish 21286504 PMC2306593 Can Fam Physician. 1982 Jul;28:1325-6 21286127

1982 Canadian Family Physician

3617. General and Family Practice—Epitomes of Progress: Culdocentesis to Diagnose Ectopic Pregnancy and Pelvic Inflammatory Disease (PID) Full Text available with Trip Pro

General and Family Practice—Epitomes of Progress: Culdocentesis to Diagnose Ectopic Pregnancy and Pelvic Inflammatory Disease (PID) 18749144 2010 06 30 2018 11 13 0093-0415 137 1 1982 Jul The Western journal of medicine West. J. Med. General and Family Practice-Epitomes of Progress: Culdocentesis to Diagnose Ectopic Pregnancy and Pelvic Inflammatory Disease (PID). 56 Murphy J T JT eng Journal Article United States West J Med 0410504 0093-0415 1982 7 1 0 0 1982 7 1 0 1 1982 7 1 0 0 ppublish

1982 Western Journal of Medicine

3618. An Ectopic Pregnancy Masked by Follicular Initiation of Gonadotropin-Releasing Hormone Agonist for Pituitary Desensitization Prior to In Vitro Fertilization Full Text available with Trip Pro

An Ectopic Pregnancy Masked by Follicular Initiation of Gonadotropin-Releasing Hormone Agonist for Pituitary Desensitization Prior to In Vitro Fertilization 9547694 1998 06 11 2016 11 24 1058-0468 15 3 1998 Mar Journal of assisted reproduction and genetics J. Assist. Reprod. Genet. An ectopic pregnancy masked by follicular initiation of gonadotropin-releasing hormone agonist for pituitary desensitization prior to in vitro fertilization. 161-3 Hemmings R R McGill Reproductive Center, Department (...) -Releasing Hormone agonists Humans Laparoscopy Male Ovarian Cysts diagnostic imaging therapy Ovary diagnostic imaging Pituitary Gland drug effects physiology Pregnancy Pregnancy, Ectopic diagnosis surgery Salpingostomy Ultrasonography Uterus diagnostic imaging 1998 4 21 1998 4 21 0 1 1998 4 21 0 0 ppublish 9547694 PMC3454974

1998 Journal of assisted reproduction and genetics

3619. Ectopic pregnancy presenting with obturator nerve pain. Full Text available with Trip Pro

Ectopic pregnancy presenting with obturator nerve pain. A 27 year old woman had a three day history of pain in the cutaneous distribution of the left obturator nerve before she developed the classical picture of ectopic pregnancy with lower abdominal pain and vaginal bleeding. A left tubal pregnancy was subsequently confirmed by laparoscopy. Referred pain along the obturator nerve has been reported in other pelvic conditions, but has not previously been reported as a manifestation of ectopic (...) pregnancy. Ectopic pregnancy may present with a very wide range of signs and symptoms and should be excluded in females of child bearing age with unexplained symptoms including pain anywhere from the shoulder down to the knee.

1998 Journal of accident & emergency medicine

3620. IUCD and Incidence Of Ectopic Pregnancy Full Text available with Trip Pro

IUCD and Incidence Of Ectopic Pregnancy 21283392 2013 07 04 2018 11 13 0008-350X 29 1983 Sep Canadian family physician Medecin de famille canadien Can Fam Physician IUCD and Incidence Of Ectopic Pregnancy. 1545 Divinsky M M eng Journal Article Canada Can Fam Physician 0120300 0008-350X 2011 2 2 6 0 1983 9 1 0 0 1983 9 1 0 1 ppublish 21283392 PMC2153889 Fertil Steril. 1977 Apr;28(4):407-21 321259 Postgrad Med. 1983 Mar;73(3):155-64 6828391 Obstet Gynecol. 1981 Feb;57(2):137-44 7465116 Can Fam

1983 Canadian Family Physician

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