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Ectopic Pregnancy

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21. Clinical audit of ectopic pregnancy Full Text available with Trip Pro

Clinical audit of ectopic pregnancy The aim of this study was to determine the risk factors of ectopic pregnancy in cases presented to the Woman's Health Hospital (WHH) in Assuit University, and to perform clinical audit on strategies for management of ectopic pregnancy in the WHH.This descriptive hospital based study was conducted at the Woman's Health Hospital (WHH) of Assuit University (Egypt). There were 210 patients who were admitted to the WHH with the diagnosis of ectopic pregnancy (...) in the period between February 1, 2015 through the end of October 2015. Data were analyzed by SPSS version 21, using descriptive statistics, Mann-Whitney U test, and Chi square.Ectopic pregnancy affects woman in the reproductive age. There are many risk factors that increase the chance of its occurrence; however, it may also occur in the absence of any risk factors (14.0%). Internal VD (72.5%) is the most frequent risk factor; other risk factors include history of abortion, previous CS, ovulation induction

2017 Electronic physician

22. Occurrence and Trend of Pregnancies Growing Outside the Womb (Ectopic Pregnancy) 2009-2018. A Study on a Defined Group of Persons

Occurrence and Trend of Pregnancies Growing Outside the Womb (Ectopic Pregnancy) 2009-2018. A Study on a Defined Group of Persons Occurrence and Trend of Pregnancies Growing Outside the Womb (Ectopic Pregnancy) 2009-2018. A Study on a Defined Group of Persons - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have (...) reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Occurrence and Trend of Pregnancies Growing Outside the Womb (Ectopic Pregnancy) 2009-2018. A Study on a Defined Group of Persons The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03670784 Recruitment

2018 Clinical Trials

23. Cervical Ectopic Pregnancy: A Rare Site of Implantation. (Abstract)

Cervical Ectopic Pregnancy: A Rare Site of Implantation. Cervical ectopic pregnancies are rare, comprising < 1% of ectopic pregnancies, and life threatening if there is a delay in treatment or a misdiagnosis.This case report describes a presentation of cervical ectopic pregnancy. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: This case report reviews nonsurgical and surgical treatment options for patients with cervical ectopic pregnancies.Copyright © 2019 Elsevier Inc. All rights reserved.

2019 Journal of Emergency Medicine

24. A decision support system for predicting the treatment of ectopic pregnancies. (Abstract)

A decision support system for predicting the treatment of ectopic pregnancies. Ectopic pregnancy is an important cause of morbidity and mortality worldwide. An early diagnosis, as well as the choice of the most suitable treatment for the patient is crucial to avoid possible complications. According to different factors an ectopic pregnancy must be treated from surgery, using a pharmacological treatment or following a conservative treatment. In this paper, a clinical decision support systems

2019 International journal of medical informatics

25. Unilateral live twin tubal ectopic pregnancy presenting at 12 weeks of gestation: A case report. Full Text available with Trip Pro

Unilateral live twin tubal ectopic pregnancy presenting at 12 weeks of gestation: A case report. Abdominal pain in pregnancy represents a demanding diagnostic challenge in the emergency department (ED) due to the extensive list of differential diagnoses to be considered, coupled with the possibility of each disease having nonclassical, atypical signs and symptoms, resultant from the patient's pregnant state. Additionally, emergency physicians (EPs) face limitations on investigative imaging (...) modalities because of the need to minimize fetal radiation exposure. EPs have to tackle this diagnostic challenge while performing a balancing act to maximize both maternal and fetal outcomes in a time-sensitive manner, becauser any delays in decision-making at the ED may threaten the safety of mother and child. Two common causes of abdominal pain in pregnancy presenting to the ED are acute appendicitis and ectopic pregnancy. The latter is almost always diagnosed by 10 weeks of gestation. Here, we report

2019 Medicine

26. Various BhCG monitoring protocols for predicting the success of single-dose methotrexate in the treatment of ectopic pregnancy. (Abstract)

Various BhCG monitoring protocols for predicting the success of single-dose methotrexate in the treatment of ectopic pregnancy. We investigated various monitoring protocols on the success of methotrexate therapy in patients with tubal ectopic pregnancy. The data from patients who received single-dose methotrexate therapy as their first-line treatment was reviewed. The Beta-human chorionic gonadotropin (BhCG) days 1-4 and days 1-7 follow-up protocols were compared with the BhCG day 4-7 follow-up (...) based on a 15% reduction in BhCG levels between days 4 and 7. Impact statement What is already known on this subject? A decrease of 15% BhCG levels between days 4 and 7 is a common protocol for predicting the success of a single-dose methotrexate therapy of an ectopic pregnancy. What do the results of this study add? This clinical study offers the cut-off values for the various BhCG follow-up protocols recently found in the literature for single-dose methotrexate therapy for the treatment of ectopic

2019 Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology Controlled trial quality: uncertain

27. Chlamydia trachomatis and the Risk of Pelvic Inflammatory Disease, Ectopic Pregnancy, and Female Infertility: A Retrospective Cohort Study Among Primary Care Patients. Full Text available with Trip Pro

Chlamydia trachomatis and the Risk of Pelvic Inflammatory Disease, Ectopic Pregnancy, and Female Infertility: A Retrospective Cohort Study Among Primary Care Patients. We evaluated the risk of pelvic inflammatory disease (PID), ectopic pregnancy, and infertility in women with a previous Chlamydia trachomatis (CT) diagnosis compared with women who tested negative for CT and CT untested women, considering both targeted and incidental (ie, prescribed for another indication) use of CT-effective (...) antibiotics.This was a retrospective study of women aged 12-25 years at start of follow-up within the Clinical Practice Research Datalink GOLD database linked to index of multiple deprivation quintiles, 2000-2013. CT test status and antibiotic use were determined in a time-dependent manner. Risk of PID, ectopic pregnancy, or female infertility were evaluated using of Cox proportional hazard models.We studied 857 324 women, contributing 6 457 060 person-years. Compared with women who tested CT-negative, women

2019 Clinical Infectious Diseases

28. Temporal trends in severe morbidity and mortality associated with ectopic pregnancy requiring hospitalisation in Washington State, USA: a population-based study. Full Text available with Trip Pro

Temporal trends in severe morbidity and mortality associated with ectopic pregnancy requiring hospitalisation in Washington State, USA: a population-based study. To examine temporal trend in maternal mortality/severe morbidity associated with hospitalisation due to ectopic pregnancy.A population-based observational study.All women hospitalised for ectopic pregnancy in Washington State, USA, 1987-2014 (n=20 418). The main composite outcome of severe morbidity/mortality included death, sepsis (...) , need for transfusion, hysterectomy and systemic or organ failure, identified by diagnostic and procedure codes from hospitalisation files. Severe morbidity/mortality due to ectopic pregnancy were expressed as incidence ratios among women of reproductive age (15-64 years) and among women hospitalised for ectopic pregnancy. Comparisons were made between 1987-1991 (reference) and 2010-2014 using ratios of incidence ratios (RR) and ratio differences (RD). The Cochran-Armitage test for trend assessed

2019 BMJ open

29. Risk of ectopic pregnancy and tubal infertility following gonorrhoea and chlamydia infections. Full Text available with Trip Pro

Risk of ectopic pregnancy and tubal infertility following gonorrhoea and chlamydia infections. Gonorrhoea and chlamydia are important causes of pelvic inflammatory disease. Chlamydia also causes long-term sequelae, but the role of gonorrhoea is unclear. We followed 300,000 reproductive-aged women for 10 years for ectopic pregnancy and tubal infertility; our findings suggest that both infections confer similar increases in risk of these outcomes.© The Author(s) 2019. Published by Oxford

2019 Clinical Infectious Diseases

30. Deregulation of miR-324/Kiss1/kisspeptin in early ectopic pregnancy: Mechanistic findings with clinical and diagnostic implications. Full Text available with Trip Pro

Deregulation of miR-324/Kiss1/kisspeptin in early ectopic pregnancy: Mechanistic findings with clinical and diagnostic implications. Ectopic pregnancy (EP) is a life-threatening condition, for which novel screening tools enabling early accurate diagnosis would improve clinical outcomes. Kisspeptins, encoded by KISS1, play an essential role in human reproduction, at least partially by regulating placental function and possibly embryo implantation. Kisspeptin levels are massively elevated (...) in normal pregnancy and reportedly altered in various gestational pathologies. Yet, the pathophysiological role of KISS1/kisspeptin in EP has not been investigated previously.To evaluate changes of KISS1/kisspeptin levels in EP and their underlaying molecular mechanisms, and to ascertain the diagnostic implications of these changes.A total of 122 women with normal pregnancy undergoing voluntary termination of pregnancy (VTOP) and 84 patients suffering from tubal ectopic pregnancy (EP) were recruited

2019 American Journal of Obstetrics and Gynecology

31. The effect of counseling based on health promotion awareness on mental health and self-esteem in women with ectopic pregnancy: a randomized controlled clinical trial. (Abstract)

The effect of counseling based on health promotion awareness on mental health and self-esteem in women with ectopic pregnancy: a randomized controlled clinical trial. Objectives: In all types of pregnancies women experienced changes in their mental health and self-esteem condition. The aim of this study was to determine the effect of counseling on mental health and self-esteem following an ectopic pregnancy (EP). Study design: This was a randomized controlled clinical trial on 68 pregnant women (...) with EP referring to Al-Zahra hospital in Tabriz, Iran in 2018. The participants randomly allocated to counseling and control groups. Intervention group received four sessions of counseling including 1) providing medical information about EP and its physical and psychological complications; 2) explaining the syndrome of sadness after losing a pregnancy; 3) mental health and ways to improve it after pregnancy loss; and 4) self-esteem and how to increase it after losing a pregnancy and control group

2019 The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians Controlled trial quality: uncertain

32. The effect of morphological types of extrauterine ectopic pregnancies on the accuracy of pre-operative ultrasound diagnosis. (Abstract)

The effect of morphological types of extrauterine ectopic pregnancies on the accuracy of pre-operative ultrasound diagnosis. The aim of this study was to assess the overall accuracy of the transvaginal ultrasound scan (TVS) diagnosis of all types of extrauterine ectopic pregnancy (EUEP) in a large group of women who were managed surgically. We also examined the positive predictive value (PPV) of the different ultrasound morphological types of EUEP, using visual confirmation of ectopic pregnancy (...) on surgery as the reference standard.We performed a retrospective observational study of all pregnant women who underwent emergency surgery following ultrasound diagnosis of EUEP in a single Early Pregnancy Unit between January 2009 and December 2017. The pre-operative TVS findings were recorded including the exact location and morphological type (defined on ultrasound criteria, as type I-V) of EUEP. The TVS findings were compared with the operative and histological findings.A total of 26401 women

2019 Ultrasound in Obstetrics and Gynecology

33. Levonorgestrel intrauterine contraceptive systems (13.5 mg and 52 mg) and risk of ectopic pregnancy. Full Text available with Trip Pro

Levonorgestrel intrauterine contraceptive systems (13.5 mg and 52 mg) and risk of ectopic pregnancy. The objective was to investigate the Pearl index for ectopic pregnancy in women using levonorgestrel intrauterine system (LNG-IUS) at time of conception.This was a sub-study of a hospital based historical cohort including women with an ectopic pregnancy diagnosed in four referral hospitals in Stockholm Sweden between December 2013 and April 2017. Study participants and type of contraception (...) at time of conception were identified through the electronic medical chart system. Cases were defined as women with LNG-IUS 13.5 mg or 52 mg in situ at the time of diagnosis of ectopic pregnancy who had their LNG-IUS inserted 1st January 2014 or later. Outcome was defined as the incidence rate for ectopic pregnancy during use per 100 women-year (Pearl index) with 95% confidence interval.The study includes 35 cases with LNG-IUS 13.5 mg and 13 cases with LNG-IUS 52 mg, which occurred in 18488 (13.5 mg

2019 Acta Obstetricia et Gynecologica Scandinavica

34. Does this woman have an ectopic pregnancy? The rational clinical examination systematic review

Does this woman have an ectopic pregnancy? The rational clinical examination systematic review Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2013 DARE.

35. Inexscreen as a screening test for ectopic pregnancy and miscarriage

Inexscreen as a screening test for ectopic pregnancy and miscarriage Inexscreen as a screening test for ectopic pregnancy and miscarriage Inexscreen as a screening test for ectopic pregnancy and miscarriage Malaysian Health Technology Assessment (MaHTAS) Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Malaysian Health Technology (...) Assessment (MaHTAS). Inexscreen as a screening test for ectopic pregnancy and miscarriage. Putrajaya: Malaysian Health Technology Assessment (MaHTAS). 2014 Authors' objectives To assess the safety, effectiveness (diagnostic accuracy) and cost-effectiveness of Inexscreen as a screening tool for ectopic pregnancy and miscarriage. Authors' conclusions There was limited retrievable fair level of evidence on the safety and effectiveness (diagnostic accuracy) of Inexscreen as a screening test for ectopic

2014 Health Technology Assessment (HTA) Database.

36. Feasibility of single-incision laparoscopy for ruptured ectopic pregnancies with hemoperitoneum. (Abstract)

Feasibility of single-incision laparoscopy for ruptured ectopic pregnancies with hemoperitoneum. The aim of this study was to compare single-incision laparoscopic surgery (SILS) and conventional laparoscopy in ectopic pregnancies accompanied by severe hemoperitoneum.The main outcome measures were duration of surgery, intraoperative bleeding quantity, complications, post-operative pain scores, additional analgesic requirements, and length of hospital stay.A total of 53 women, 28 (...) at the sixth postoperative hour was lower in the SILS group. This effect was not observed at 12 and 24 hours.SILS appears to be effective and safe for the treatment of ruptured ectopic pregnancies accompanied by hemoperitoneum.

2018 Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy

37. Intramural Ectopic Pregnancy Following Myomectomy Full Text available with Trip Pro

Intramural Ectopic Pregnancy Following Myomectomy Intramural pregnancy is a rare form of ectopic pregnancy with early diagnosis essential for prevention of severe hemorrhage and uterine rupture. We report a rare case of an intramural ectopic pregnancy at 12 weeks gestation in a woman 1 year post open myomectomy. Both transvaginal ultrasound and magnetic resonance imaging were utilized as diagnostic aids in this case. The rare nature of this clinical scenario and lack of guidelines

2018 Journal of investigative medicine high impact case reports

38. Successful diagnosis and treatment of early splenic ectopic pregnancy: A case report: Erratum Full Text available with Trip Pro

Successful diagnosis and treatment of early splenic ectopic pregnancy: A case report: Erratum 30142871 2018 11 14 1536-5964 97 34 2018 Aug Medicine Medicine (Baltimore) Successful diagnosis and treatment of early splenic ectopic pregnancy: A case report: Erratum. e12141 10.1097/MD.0000000000012141 eng Journal Article United States Medicine (Baltimore) 2985248R 0025-7974 2018 8 26 6 0 2018 8 26 6 0 2018 8 26 6 0 ppublish 30142871 10.1097/MD.0000000000012141 00005792-201808240-00123 PMC6113032

2018 Medicine

39. Second Trimester Cervical Ectopic Pregnancy and Hemorrhage: A Case Report and Review of the Literature Full Text available with Trip Pro

Second Trimester Cervical Ectopic Pregnancy and Hemorrhage: A Case Report and Review of the Literature Cervical ectopic pregnancies are a rare occurrence in the United States. Here we present the interdisciplinary and conservative management approach to a cervical ectopic at an advanced gestational age. In addition, we review the surgical management of hemorrhage from cervical ectopic pregnancies, which is often catastrophic and life-threatening.

2018 Case reports in obstetrics and gynecology

40. Successful Procedure in Conservative Management of Interstitial (Cornual) Ectopic Pregnancy Full Text available with Trip Pro

Successful Procedure in Conservative Management of Interstitial (Cornual) Ectopic Pregnancy A 35-year-old woman presented with spotting and lower abdominal pain. Follow-up sonography was suggestive of interstitial ectopic pregnancy. Laparoscopic cornuostomy was carried out. Before incision, diluted vasopressin was injected around the site of interstitial pregnancy. Removal of the conceptual tissues was conducted smoothly through a 1.5 cm incision. The overall blood loss was 50 mL. The operative (...) time was 50 min, and there were no intraoperative complications. We successfully performed laparoscopic cornuostomy, which was followed by an unremarkable postoperative course. Laparoscopic surgery is a safe and effective minimally invasive surgical intervention for interstitial ectopic pregnancy if performed by the experienced surgeon. Local vasopressin injection is a good alternative for bleeding control in conservative laparoscopic surgery.

2018 Gynecology and Minimally Invasive Therapy

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