Ectopic pregnancy medical management

ABSTRACT

To assess the effectiveness of systemic methotrexate for treatment of unruptured ectopic pregnancy. Ectopic Pregnancy is pregnancy that occurs in any location other than the uterus. 95% to 98% are tubal ectopics, but the number of ovarian, abdominal and cervical implantations is rising as does the number of heterotopic pregnancies. Prospective experimental study. DHQ Hospital affiliated with Punjab Medical College Faisalabad. Jan-2009 to Dec-2009. A total of 45 women were admitted with diagnosis of extrauterine pregnancy. But only 10 women fulfilled the criteria for medical management. Out of these 80% patients required no surgical intervention. However 20% needed surgery. 60% patients suffered from lower abdominal or pelvic pain. 20% required 2nd dose of methotrexate. Average IJ-hCG resolution time was 35 days. With early diagnosis and proper selection criteria adoption, medical treatment of ectopic pregnancy with systemic methotrexate is an effective and safe alternative to surgical interventions: