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Ectopic Pregnancy

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121. Increased incidence of ectopic pregnancy after in vitro fertilization in women with decreased ovarian reserve Full Text available with Trip Pro

Increased incidence of ectopic pregnancy after in vitro fertilization in women with decreased ovarian reserve The incidence of ectopic pregnancy after assisted reproductive technology is increased approximately 2.5-5-fold compared with natural conceptions.Strategies were used to decrease the incidence of ectopic pregnancy, but ectopic pregnancy still occurs. In the present study, women were selected with decreased ovarian reserve (defined as FSH > 10 IU/L) aged 20 to 38 years who underwent IVF (...) -ET between 2009 and 2014. These 2,061 women were age-matched with an equal number of women with normal ovarian reserve (defined as FSH ≤ 10 IU/L). During cycles following fresh embryo transfer, 93 patients were diagnosed with ectopic pregnancy. The incidence of ectopic pregnancy in clinical pregnancies was significantly higher in the decreased ovarian reserve than in the normal ovarian reserve group (5.51% vs. 2.99%). After adjusting for confounding factors, the incidence of ectopic pregnancy

2017 Oncotarget

122. Clinical predictors of failing one dose of methotrexate for ectopic pregnancy after in vitro fertilization Full Text available with Trip Pro

Clinical predictors of failing one dose of methotrexate for ectopic pregnancy after in vitro fertilization The aim of this study is to investigate the clinical predictors of failure of a single dose of methotrexate (MTX) for management of ectopic pregnancy after in vitro fertilization (IVF).A retrospective cohort study was performed of women who conceived ectopic pregnancies following fresh or frozen IVF cycles at an academic infertility clinic between 2007 and 2014, and received intramuscular (...) MTX (50 mg/m2). Successful single-dose MTX treatment was defined as a serum beta-human chorionic gonadotropin (hCG) decline ≥15% between days 4 and 7 post-treatment. Logistic regression models adjusted for oocyte age, number of embryos transferred, and prior ectopic pregnancy were used to estimate the adjusted odds ratio (OR) (95% confidence interval [CI]) of failing one dose of MTX.Sixty-four patients with ectopic pregnancies after IVF were included. Forty required only one dose of MTX (62.5

2017 Journal of assisted reproduction and genetics

123. A Third Surgically Managed Ectopic Pregnancy after Two Salpingectomies Involving the Opposite Tube Full Text available with Trip Pro

A Third Surgically Managed Ectopic Pregnancy after Two Salpingectomies Involving the Opposite Tube Recurrent ectopic pregnancy in a remnant fallopian tube after ipsilateral salpingectomy is clinically rare. We report the extremely rare case of a third recurrent ectopic pregnancy after two previous salpingectomy procedures involving the opposite tube. A 26-year-old woman, gravida 3 para 0, experienced three ectopic pregnancies brought about by natural conception, all of which were treated (...) surgically (right partial salpingectomy, right remnant tube resection, and left total salpingectomy). During the two salpingectomy procedures involving the right tube, the patency of the intact left tube was intraoperatively confirmed with indigo carmine. The most appropriate surgical intervention should be discussed when managing recurrent ectopic pregnancies. It might be necessary to perform total salpingectomy to reduce the risk of future recurrence on the remaining tube.

2017 Case reports in obstetrics and gynecology

124. An unusual emergency department case: ruptured ectopic pregnancy presenting as chest pain Full Text available with Trip Pro

An unusual emergency department case: ruptured ectopic pregnancy presenting as chest pain 28123626 2018 11 13 1920-8642 8 1 2017 World journal of emergency medicine World J Emerg Med An unusual emergency department case: ruptured ectopic pregnancy presenting as chest pain. 71-73 10.5847/wjem.j.1920-8642.2017.01.014 Dichter Eric E Department of Emergency Medicine, Rowan University SOM, Kennedy University Hospital, Stratford, New Jersey, USA. Espinosa James J Department of Emergency Medicine

2017 World journal of emergency medicine

125. Diagnosis and management of intramural ectopic pregnancy in the second trimester—a case report Full Text available with Trip Pro

Diagnosis and management of intramural ectopic pregnancy in the second trimester—a case report Intramural ectopic pregnancy is one of the rarest types of ectopic pregnancy, with risk of 1:30000. Confirmation of intramural ectopic pregnancy is difficult and is often performed intraoperatively. Intramural ectopic pregnancy often requires hysterectomy to avoid life-threatening haemorrhage. We present a case of intramural ectopic pregnancy in the second trimester, including its diagnostic (...) criteria and treatment plan. Transvaginal ultrasound and MRI are important non-invasive methods in diagnosing this type of ectopic pregnancy. Clinicians should provide consideration to a combination of strategies and do their best to preserve patients' uteri and fertility. In this case, clinicians excluded the gestational sac, repaired the uterus and saved the patient's fertility.

2017 BJR Case Reports

126. Autologous and Nonautologous Blood Transfusion in Patients with Ruptured Ectopic Pregnancy and Severe Blood Loss Full Text available with Trip Pro

Autologous and Nonautologous Blood Transfusion in Patients with Ruptured Ectopic Pregnancy and Severe Blood Loss There are some theoretical concerns for the use of intraoperative cell salvage (ICS) in patients with ectopic pregnancy. This study aimed to observe the impact of ICS on the coagulation function and clinical outcomes of patients with ruptured ectopic pregnancy and severe blood loss.This was a retrospective study of 225 patients with ruptured ectopic pregnancy and severe blood loss (...) at discharge (-6.5%, P = 0.002) and thrombin time (-3.7%, P = 0.002) were decreased 24 h after surgery, while 24 h APTT was increased (+4.6%, P < 0.001). In the control group, hemoglobin at discharge (-16.8%, P < 0.001) was decreased after surgery and 24 h APTT was increased (+2.4%, P = 0.045). At discharge, hemoglobin levels were higher in the ICS group (P < 0.001).ICS was associated with good clinical outcomes in patients with ruptured ectopic pregnancy and severe blood loss.

2017 BioMed research international

127. Adnexal Mass After Methotrexate Treatment for Ectopic Pregnancies

Adnexal Mass After Methotrexate Treatment for Ectopic Pregnancies Adnexal Mass After Methotrexate Treatment for Ectopic Pregnancies - 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. Adnexal Mass After (...) Methotrexate Treatment for Ectopic Pregnancies 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. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03138694 Recruitment Status : Not yet recruiting First Posted : May 3, 2017 Last Update Posted : May 3, 2017 See Sponsor: Tel-Aviv

2017 Clinical Trials

128. Cesarean scar ectopic pregnancy. Laparoscopic resection and total scar dehiscence repair. A case report. (Abstract)

Cesarean scar ectopic pregnancy. Laparoscopic resection and total scar dehiscence repair. A case report. To illustrate a laparoscopic technique for the resection of cesarean scar ectopic pregnancy, associated with isthmocele repair.Case report (Canadian Task Force classification III).A tertiary referral center in Strasbourg, France.Cesarean scar pregnancy is a rare form of ectopic pregnancy. The major risk of this type of pregnancy is the early uterine rupture with massive, sometimes life (...) ) concluded that hysteroscopy or laparoscopic hysterotomy seems to be the best first-line approach to treating cesarean scar ectopic pregnancy, with uterine artery embolization reserved for significant bleeding and/or a high suspicion index for arteriovenous malformation [1]. There is no consensus on the treatment of reference, however.The case involves a 38-year-old primiparous women who underwent a cesarean section delivery in 2010 and who was diagnosed by ultrasound scan at 7 weeks gestation

2017 Journal of minimally invasive gynecology

129. Impact of hysterosalpingography after operative treatment for ectopic pregnancy in Taiwan: A 16-year Nationwide Population-Based Analysis. Full Text available with Trip Pro

Impact of hysterosalpingography after operative treatment for ectopic pregnancy in Taiwan: A 16-year Nationwide Population-Based Analysis. By retrieving records from Taiwan's National Health Insurance (NHI) system's database, the current study aimed to investigate the impacts of hysterosalpingography (HSG) to patients after ectopic pregnancy (EP) operations in Taiwan.In this retrospective cohort study, insurance claims data from 1997 to 2013, derived from a cohort of 1 million people randomly (...) sampled to represent all NHI beneficiaries, were analyzed. Patients after ectopic pregnancy (EP) operations were identified via the inclusion of the corresponding NHI procedure codes. We further divided the patients into 2 groups by whether received subsequent HSG, EP-HSG, and EP-no-HSG. Patients with history of previous pregnancies (PP) and subsequent HSG were grouped as PP-HSG. We sought to evaluate the following pregnancies (FP) rate, interval to FP in EP-HSG compared with that in EP-no-HSG, and PP

2017 Medicine

130. A randomised trial comparing laparoscopy with laparotomy in the management of women with ruptured ectopic pregnancy. Full Text available with Trip Pro

A randomised trial comparing laparoscopy with laparotomy in the management of women with ruptured ectopic pregnancy. Ruptured ectopic pregnancy (REP) is a common gynaecological emergency in resource-poor settings, where laparotomy is the standard treatment despite laparoscopic surgery being regarded as the optimal treatment. There is a lack of prospective randomised data comparing laparoscopic surgery with laparotomy in the surgical management of women with REP.To compare operative laparoscopy

2017 South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde Controlled trial quality: uncertain

131. Comparison of management regimens following ultrasound diagnosis of nontubal ectopic pregnancies: a retrospective cohort study. Full Text available with Trip Pro

Comparison of management regimens following ultrasound diagnosis of nontubal ectopic pregnancies: a retrospective cohort study. To review management options for nontubal ectopic pregnancies.Retrospective cohort study.Tertiary hospital in Melbourne, Australia.A total of 100 nontubal pregnancies: 1 abdominal, 32 caesarean scar, 14 cervical, 41 cornual-interstitial, 12 ovarian.Cases were classified according to ectopic site. Management categories were medical, surgical, combination or expectant (...) interventions.Minimally invasive approaches were found to be safe and effective treatment for women desiring to conserve fertility. Ultrasound-guided intra-sac injection and laparoscopic ectopic removal procedures aimed at preserving reproductive organs should be included as minimally invasive primary management tools in addition to the well-recognised option of systemic methotrexate.Nontubal ectopics: minimally invasive procedures a safe alternative to surgery in selected cases.© 2017 Royal College of Obstetricians

2017 BJOG

132. Comparison of ectopic pregnancy risk among transfers of embryos vitrified on day 3, day 5, and day 6. Full Text available with Trip Pro

Comparison of ectopic pregnancy risk among transfers of embryos vitrified on day 3, day 5, and day 6. To compare ectopic pregnancy risk among transfers of embryos vitrified on day 3, day 5, and day 6.Retrospective cohort study.Academic tertiary-care medical center.A total of 10,736 pregnancies after 23,730 frozen-thawed embryo transfer (FET) cycles of in vitro fertilization/intracytoplasmic sperm injection from March 2003 to May 2015.The ectopic pregnancy rate was compared among pregnancies (...) resulting from transfers of embryos vitrified on day 3, day 5, and day 6. Generalized estimation equation regression models were used to calculate unadjusted and adjusted odds ratios and 95% confidence intervals for the association between ectopic pregnancy and selected patient and treatment characteristics. We studied this association in both the group that achieved pregnancy and the group that underwent an FET cycle.Odds of ectopic pregnancy.The overall rate of ectopic pregnancy was 2.8% (304/10,736

2017 Fertility and Sterility

133. An abdominal ectopic pregnancy following a frozen-thawed ART cycle: a case report and review of the literature. Full Text available with Trip Pro

An abdominal ectopic pregnancy following a frozen-thawed ART cycle: a case report and review of the literature. Ectopic pregnancy (EP) occurs in 1% of pregnancies and is reported to be more common in in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI) pregnancies. An abdominal ectopic pregnancy (AEP) is a rare form of EP, and there are few reports of an AEP after IVF/ICSI. In this case report, a rare case of AEP after frozen-thawed cycle of ICSI is presented.After a frozen-thawed

2017 BMC Pregnancy and Childbirth

134. Challenges in the surgical management of ectopic pregnancy in a low-resource setting: Mpilo Central Hospital, Bulawayo, Zimbabwe. (Abstract)

Challenges in the surgical management of ectopic pregnancy in a low-resource setting: Mpilo Central Hospital, Bulawayo, Zimbabwe. Background Ectopic pregnancy contributes to maternal morbidity and mortality, especially in low-resourced countries with limited facilities for early diagnosis and treatment. It is a very challenging condition to diagnose. Patients may collapse and die while undergoing investigation. Aims To assess surgical treatment given to patients presenting at Mpilo Central

2017 Tropical Doctor

135. Disparities in the Management of Ectopic Pregnancy. Full Text available with Trip Pro

Disparities in the Management of Ectopic Pregnancy. Ectopic pregnancy is common among young women. Treatment can consist of either surgery with salpingectomy or salpingostomy or medical management with methotrexate. In addition to acute complications, treatment of ectopic pregnancy can result in long-term sequelae that include decreased fertility. Little is known about the patterns of care and predictors of treatment in women with ectopic pregnancy. Similarly, data on outcomes for various (...) treatments are limited.We examined the patterns of care and outcomes for women with ectopic pregnancy. Specifically, we examined predictors of medical (vs surgical) management of ectopic pregnancy and tubal conservation (salpingostomy vs salpingectomy) among women who underwent surgery.The Perspective database was used to identify women with a diagnosis of tubal ectopic pregnancy treated from 2006-2015. Perspective is an all-payer database that collects data on patients at hospitals from throughout

2017 American Journal of Obstetrics and Gynecology

136. Cesarean scar pregnancy

Riaz R.M. Williams T.R. Craig B.M. Myers D.T. Cesarean scar ectopic pregnancy: imaging features, current treatment options, and clinical outcomes. Abdom Imaging. 2015; 40 : 2589-2599 Gibbons L. Belizan J.M. Lauer J.A. Betran A.P. Merialdi M. Althabe F. Inequities in the use of cesarean section deliveries in the world. Am J Obstet Gynecol. 2012; 206 : 331.e1-331.e19 Jurkovic D. Hillaby K. Woelfer B. Lawrence A. Salim R. Elson C.J. First-trimester diagnosis and management of pregnancies implanted (...) into the lower uterine segment cesarean section scar. Ultrasound Obstet Gynecol. 2003; 21 : 220-227 Seow K.M. Huang L.W. Lin Y.H. Lin M.Y. Tsai Y.L. Hwang J.L. Cesarean scar pregnancy: issues in management. Ultrasound Obstet Gynecol. 2004; 23 : 247-253 Godin P.A. Bassil S. Donnez J. An ectopic pregnancy developing in a previous caesarian section scar. Fertil Steril. 1997; 67 : 398-400 Maymon R. Halperin R. Mendlovic S. Schneider D. Herman A. Ectopic pregnancies in a caesarean scar: review of the medical

2020 Society for Maternal-Fetal Medicine

137. Tobacco and Nicotine Cessation During Pregnancy

), and non-Hispanic American Indian or Alaska Native women (16.7%) . Pregnant women should be advised of the significant perinatal risks associated with tobacco use, including orofacial clefts, fetal growth restriction, placenta previa, abruptio placentae, preterm prelabor rupture of membranes , low birth weight, increased perinatal mortality , ectopic pregnancy , and decreased maternal thyroid function . An estimated 5–8% of preterm deliveries, 13–19% of term infants with low birth weight, 22–34% cases (...) , and provide behavioral interventions for those who smoke . The U.S. Public Health Service recommends that clinicians offer effective tobacco cessation interventions to pregnant women who smoke at the initial prenatal visit and throughout the course of pregnancy . Addiction to and dependence on cigarettes is physiologic and psychologic, and cessation techniques should include psychosocial interventions and pharmacologic therapy. Two counseling techniques with positive effects on smoking and nicotine

2020 American College of Obstetricians and Gynecologists

138. Management of ectopic pregnancy

Management of ectopic pregnancy Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation web address: Timing and effect measures Timing and effect measures Email

2018 PROSPERO

139. Ectopic Pregnancy

Database) Ontology: Ectopic Pregnancy (C0032987) Definition (MEDLINEPLUS) The uterus, or womb, is an important female reproductive organ. It is the place where a baby grows when a woman is pregnant. If you have an ectopic pregnancy, the fertilized egg grows in an abnormal place, outside the uterus, usually in the fallopian tubes. The result is usually a . Ectopic pregnancy can be a medical emergency if it ruptures. Signs of ectopic pregnancy include Abdominal pain Shoulder pain Vaginal bleeding Feeling (...) Ectopic Pregnancy Ectopic Pregnancy Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Ectopic Pregnancy Ectopic Pregnancy Aka: Ectopic

2018 FP Notebook

140. Overview of pregnancy complications

Overview of pregnancy complications Overview of pregnancy complications - Summary of relevant conditions | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Overview of pregnancy complications Last reviewed: February 2019 Last updated: September 2018 Introduction Complications in pregnancy can result from conditions that are specifically linked to the pregnant state as well as conditions that commonly arise or occur incidentally in women who are pregnant (...) need for folate. Complications include neural tube defects, spontaneous abortion, and placental abruption. Goh YI, Koren G. Folic acid in pregnancy and fetal outcomes. J Obstet Gynaecol. 2008;28:3-13. http://www.ncbi.nlm.nih.gov/pubmed/18259891?tool=bestpractice.com In pregnant women, iron deficiency anaemia is defined as haemoglobin below 110 g/L (<11 g/dL). Goddard AF, James MW, McIntyre AS, et al; British Society of Gastroenterology. Guidelines for the management of iron deficiency anaemia. Gut

2018 BMJ Best Practice

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