Poster abstracts c) Suboptimal: Only mentioned an empty uterus, and nothing else. Results: Of the 52 cases of confirmed ectopic pregnancies, 17 (32.7%) had diagnostic scan reports, 23 (43.3%) were adequately detailed, and 12 (23.1%) were considered suboptimal. Conclusions: An unacceptably high proportion of reports (23.1%) were considered suboptimal. We are now working on a standard reporting format for all early pregnancy ultrasound scans performed in this trust. This will improve communication between practitioners involved in the care of these patients, and improve patient care. In clinically suspected EP cases, when hCG > 2000 mIU/mL and TVCD failed to disclose intrauterine gestational sac, the patient had an EP or RSA. When hCG < 2000 mlU/ml, serial hCG test was performed (on 48 h. intervals) and the TVCD was repeated once the discriminatory level was reached. In cases of MP with ''snow storm'' sign, high vascularization and low RI/PI, a hCG was not decreased (uncommonly increased). After the MP extraction the abovementioned findings were correlated with hCG level. In cases of OH, OR, OT the increased level of hCG was not so significant, as clinical manifestation (pelvic pain) and TVCD findings.
P110
Conclusion:The TVCD has significant role in management of patients with positive hCG test.
P111 Bilateral vital tubal ectopic pregnancy detected by color Doppler transvaginal ultrasonography
A. Jurisic, S. Andjelic and D. Filipovic
Narodni front OB/GYN University Clinic, Belgrade, SerbiaBilateral tubal ectopic pregnancies are rare conditions and occur at the incidence 1 : 1000-1 : 1500 ectopic pregnancies. A 29 years old patient with amenorrhoea and positive HCG was referred to our clinic for suspected ectopid pregnancy. Patient had stimulated cycle with Clomiphene citrate. Transvaginal color Doppler ultrasonography showed empty uterus with hyperechogenic endometrium 25 mm thick. Transversal wide angle scan showed ectopic gestational sacs in both tubes. Normal embryos were detected in both gestational sacs and color Doppler ultrasonography confirmed normal embrional heart rate in both ectopic pregnancies. Laparotomy was performed and ectopic pregnancy in isthmic part of the right tube was confirmed. In the left tube ectopic pregnancy was localized in ampulary and isthmic region. Right salpingectomy was performed and on the left side, incision of the tube, expression or the trophoblastic tissue and tubal reconstruction was performed. Histopathological examination confirmed ectopic trophoblastic and embrional tissue on both sides.
P112Is the use of prophylactic antibiotics required in women being managed expectantly with incomplete miscarriage? G. Condous, E. Okaro, A. Khalid, S. Rao, M. Alkatib and T. Bourne
St George's Hospital Medical School, UKBackground: The use of prophylactic antibiotics has been shown to be of no value in women treated with surgical evacuation for incomplete miscarriage. The use of prophylactic antibiotics has not been prospectively validated in women with incomplete miscarriage who choos...