Significance of human chorionic gondotrophin value in tubal pregnancy

ABSTRACT

The study has been conducted on 20 conclusive cases, surgically proved to be tubal pregnancy, to detect whether serum B-HCG can predict site of rupture of tubal pregnancy, their ages ranged between 21 and 35 years and their parity ranged from nullipara to five parities. The gestational age at operation averaged 59.9 +/- 12.08 days. Out of 20 cases, 13 cases were ruptured [65%] while only 7 cases [35%] were unruptured. The mean serum B-HCG for ruptured tubal pregnancy was much higher than that of unruptured tubal cases. The mean levels were 528.8 +/- 303.8 and 222.4 +/- 51.5 mul/ml, respectively. Those planning for conservative or chemotherapeutic management of tubal pregnancy, an arbitrary serum HCG value of 280 mul/ml can be used as cut off limit for integrity of tubal pregnancy