P16.09: Psychological acceptability of transvaginal scan among Nigerians attending for early pregnancy ultrasound

Abstract

Methods: All medical articles and congress abstracts are included in the national review system, similar to PubMed. We searched this system using the terms ''abdominal pregnancy'' and identified 69 articles, including 95 cases of AP with sufficient clinical information, including our previously reported case. There were 86 early (E) APs and 9 advanced (A) APs. There were eight MTX-indispensable EAPs. Results: Among the EAPs, MTX was administered after primary surgery in eight (9%, 8/86). The patient's background, pregnancy weeks, implantation site, operation, blood loss, blood transfusion, reason for MTX therapy and MTX schedule are examined. Pregnancy weeks were documented in six cases and were 5 (2 cases), 6, 7, 8 and 10 weeks respectively. Implantation sites varied. Blood loss ranged from 225-2,000 g in five of the eight cases and blood transfusion was performed in one case. MTX was administered to one patient (12.5%) who did not undergo surgical extraction because of liver pregnancy, one patient (12.5%) without tumor extraction for fear of massive bleeding and to the remaining six patients (75%) because of incomplete extraction or residual pathological changes. MTX was mostly administered according to the usual regimen for trophoblastic disease. Conclusions: MTX-indispensable EAPs should be regarded as dangerous. Some EAPs cannot be managed only by operative dissections but MTX administration are required for additional therapy. P16.09Psychological acceptability of transvaginal scan among Nigerians attending for early pregnancy ultrasound