Conservative Management of Intramural Pregnancy Implanting in The Cesarean Section Scar / 대한산부인과학회잡지
Korean Journal of Obstetrics and Gynecology
;
: 1743-1747, 2004.
Article
in Korean
| WPRIM
| ID: wpr-199608
ABSTRACT
OBJECTIVE:
To evaluate of safety and effectiveness of conservative treatment of previous cesarean section scar pregnancy.METHODS:
Ten patients with previous cesarean section scar pregnancy were treated systemic methotrexate or intra-amnionic methotrexate injection. After treatment, patients were measured for the levels of serum beta-hCG and underwent ultrasound. According to the results, additional dose of methotrexate or curettage were done. Serum beta-hCG and ultrasound were checked several times until the level of serum beta-hCG and the finding of ultrasound had been normalized.RESULTS:
Two patients showed normal serum beta-hCG levels and ultrasound findings after intra-amnionic methotrexate injection only. Two patients showed normal serum beta-hCG levels and ultrasound findings after systemic methotrexate/folinic acid therapy followed by dilatation and curettage. Six patients showed normal serum beta-hCG levels and ultrasound findings after intra-amnionic methotrexate injection followed dilatation and curettage. Two patients were transfused due to massive bleeding and other patients were not experienced severe complications.CONCLUSION:
These results suggest that systemic or intra-amnionic methotrexate therapy with or without dilatation and curettage is safe and effective as a primary therapy for intramural pregnancy implanting in the cesarean section scar.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pregnancy, Ectopic
/
Cesarean Section
/
Methotrexate
/
Ultrasonography
/
Cicatrix
/
Curettage
/
Dilatation and Curettage
/
Hemorrhage
Type of study:
Diagnostic study
Limits:
Female
/
Humans
/
Pregnancy
Language:
Korean
Journal:
Korean Journal of Obstetrics and Gynecology
Year:
2004
Type:
Article
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