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Extrauterine pregnancies-risk factors and management

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DOI: 10.4236/ojcd.2013.32011    2,534 Downloads   4,318 Views   Citations

ABSTRACT

Objective: To study the clinical progress, risk factors, management, and outcomes of suspected ectopic pregnancy (EP). Design: Retrospective clinical case study. Population: All 184 patients hospitalized for suspected EP during the period 1.1.2008-31.12.2011. Setting: Oulu University Hospital, Finland. Methods: The clinical progress, risk factors, management, complications and outcomes were based on studies of hospital records. Main outcome measures: Symptoms, serum quantitative human chorionic gonadotropin (hCG) levels, management, complications and outcome of patients. Results: At least one of the risk factors was found in 117 women (66%). There were 11 patients without symptoms. In the initial visit, the median hCG concentration was 1915 (20 - 73,000) IU/l. The most common treatment was surgical, 137/181 (76%), followed with medical treatment, 22/181 (12%) and expectant management, 22/181 (12%). Conclusions: Surgery was the most widely used treatment for EP. We might thus draw attention to more conservative management.


Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Patapuro, A. , Lahdemaki, H. , Marttala, J. , Santala, M. and Ryynanen, M. (2013) Extrauterine pregnancies-risk factors and management. Open Journal of Clinical Diagnostics, 3, 57-62. doi: 10.4236/ojcd.2013.32011.

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