Extrauterine pregnancies-risk factors and management

Abstract

<p> <b><i><span style="font-size:10.0pt;">Objective</span></i></b><b><span style="font-size:10.0pt;">: To study the clinical progress, risk factors, management, and outcomes of suspected ectopic pregnancy (EP). <i>Design</i>: Retrospective clinical case study. <i>Population</i>: All 184 patients hospitalized for suspected EP during the period 1.1.2008-31.12.2011. <i>Setting</i>:<i> </i>Oulu University Hospital, Finland. <i>Methods</i>: The clinical progress, risk factors, management, complications and outcomes were based on studies of hospital records. <i>Main outcome measures</i>: Symptoms, serum quantitative human chorionic gonadotropin (hCG) levels, management, complications and outcome of patients. <i>Results</i>: 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%), f<span>ollowed with medical treat</span>ment, 22/181 (12%) and expectant management, 22/181 (12%). <i>Conclu</i><i>sions</i>: Surgery was the most widely used treatment for EP. We might thus draw attention to more conservative management.</span></b><b><span style="font-size:10.0pt;"></span></b> </p> <br /