Title: Role of Conservative Management in Ectopic Pregnancy: A Prospective Study
Authors: Dr Aswathy Gopinath, Dr T. V. Saravanakumar
DOI: https://dx.doi.org/10.18535/jmscr/v6i9.117
Abstract
Introduction: Ectopic pregnancy is a life threatening emergency in young age females. Incidence of ectopic pregnancy is increasing worldwide. All cases of ectopic pregnancy were classically managed by surgery, later medical management with Methotrxate was established in selective cases, Current study explores the feasibility of conservative management in cases of ectopic pregnancy.
Materials and Methods: This is a prospective case control study conducted at Sree Avittom Thirunal Hospital, Govt. Medical College, Trivandrum, Kerala, South India- a major tertiary care hospital. A total of 250 patients including 125 cases of ectopic pregnancy diagnosed by USS and serial Bhcg assay and 125 controls of early intrauterine gestation confirmed by USS as controls were included in this study. Data collected with structured questionnaire regarding risk factors as well ongoing treatment and investigations.
Results: The findings revealed that advanced maternal age, prior adverse pregnancy outcome and infertility as well as infertility treatment as risk factors for ectopic pregnancy. The study clearly established the role of conservative approach in haemo dynamically stable patients with Bhcg less than 2500 and stable USS features.
Keywords: Ectopic pregnancy, Risk factors, Bhcg, USS, Conservative management.
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