ectopic gestation


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Related to ectopic gestation: heterotopic pregnancy

ectopic gestation

Pregnancy in which the fetus develops outside the uterus.
See also: gestation
References in periodicals archive ?
Currently, ectopic gestation is mainly diagnosed by transvaginal sonography and transabdominal sonography; the two kinds of examination have their own features; most patients with ectopic gestation can be diagnosed before rupture, but misdiagnosis or missed diagnosis is still possible.
To compare the clinical effects of transvaginal sonography, transabdominal sonography and transvaginal sonography in combination with transabdominal sonography, one hundred and eighty patients with ectopic gestation who were admitted into the Binzhou People's Hospital were selected and grouped for study.
General data: One hundred and eighty patients who received clinical diagnosis in the hospital from February 2013 to February 2014 and were confirmed as ectopic gestation by surgery were selected as research subjects.
4%; one hundred and seventy-four patients were confirmed with ectopic gestation by transvaginal sonography in combination with transabdominal sonography, and the positive confirmed diagnosis rate was 96.
42-45) In their series that included 67 patients with ectopic pregnancies, 128 patients with nonviable intrauterine pregnancies, and 387 patients with normal pregnancies evaluated in an emergency department, Stovall and associates (44) found progesterone levels below 15 ng/mL in 81% of ectopic gestations, 93%of nonviable intrauterine pregnancies, and in less than 11% of normal pregnancies.
Fallopian tube was the commonest site of ectopic gestation in our study with 63.
The use of medical management of ectopic gestation has become an accepted alternative to surgical therapy.
TABLE 3: Details of Obstetric History Case detail(s) Number Percentage (%) Primigravida 10 40 Multi with no h/o abortions or 3 12 prior ectopic gestation Previous h/o abortions 7 28 Previous h/o ectopic gestation 3 12 Multi with h/o both abortion 2 8 and ectopic TABLE 4: Mode of presentation Symptom Number Percentage(%) Amenorrhoea only 7 28 Bleeding PV 13 52 Abdominal pain 5 20 TABLE 5: Period of Gestation Period of Gestation Number 4 weeks- [less than or equal to] 5 weeks 4 5 weeks- [less than or equal to] 6 weeks 8 6 weeks- [less than or equal to] 7 weeks 8 7 weeks- [less than or equal to] 8 weeks 3 >8 weeks 2 TABLE 6: Ectopic Mass Size Gestational sac size Number No sac 2 1-2 cm size 3 2-2.
The incidence is high among multies especially with history of abortions and ectopic gestation.
AIM: To review all cases of ectopic gestation managed in a tertiary care hospital for a period of one year.
Weekly follow up with beta HCG levels and ultra sound examination are important as low and declining beta HCG levels are not always associated with resolution of ectopic gestation and rupture can occur during conservative management.
Because of this the surrounding myometrium allows for greater dispensability before rupture and results in presentation at later stages than in a typical ectopic gestation, often as late as 12 to 16 weeks.