Undisturbed tubal pregnancies with positive fetal heart treated medically: Case study

Mariam Obaid; Mohannad Abu-Faza; Ibrahim A. Abdelazim; Hanan S. Al-Khatlan; Aliaa M. Al-Tuhoo

doi:10.34763/jmotherandchild.20222601.d-22-00037

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Undisturbed tubal pregnancies with positive fetal heart treated medically: Case study

Journal of Mother and Child

Volume 26 (2022): Issue 1 (March 2022)

By: Mariam Obaid, Mohannad Abu-Faza, Ibrahim A. Abdelazim, Hanan S. Al-Khatlan and Aliaa M. Al-Tuhoo

Open Access

|Feb 2023

Abstract

The incidence of ectopic pregnancy (EP) is 1.3-2.4%. Suspicion of EP starts after a positive serum pregnancy test and failure to visualize the intrauterine gestational sac (GS) by transvaginal sonography (TVS). About 88% of tubal EPs are diagnosed by absent intrauterine GS and the presence of an adnexal mass during TVS. Medical treatment of EP using methotrexate (MTX) is cost-effective with a similar success rate to surgical treatment. The presence of fetal heart beats, β-human chorionic gonadotropin >5000 mIU/mL, and EP size >4 cm are relative contraindications for using MTX in the treatment of EP.

References

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Articles in this issue

DOI: https://doi.org/10.34763/jmotherandchild.20222601.d-22-00037 | Journal eISSN: 2719-535X | Journal ISSN: 2719-6488

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Language: English

Page range: 124 - 126

Submitted on: Jul 3, 2022

Accepted on: Dec 2, 2022

Published on: Feb 22, 2023

Published by: Institute of Mother and Child

In partnership with: Paradigm Publishing Services

Publication frequency: 1 issue per year

Keywords:

Tubal,

Pregnancies,

Fetal,

Heart,

Methotrexate

Related subjects:

Medicine,

Clinical medicine,

Pediatrics and juvenile medicine,

Paediatric haematology and oncology,

Public health

© 2023 Mariam Obaid, Mohannad Abu-Faza, Ibrahim A. Abdelazim, Hanan S. Al-Khatlan, Aliaa M. Al-Tuhoo, published by Institute of Mother and Child
This work is licensed under the Creative Commons Attribution 4.0 License.

Volume 26 (2022): Issue 1 (March 2022)