Robina Ali, Uzma Afzal.
Ectopic pregnancy; medical management.
Professional Med J Jan ;19(2):242-5.

Objectives: To assess the effectiveness of systemic methotrexate for treatment of unruptured ectopic pregnancy. Introduction: 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. Study Design: Prospective experimental study. Setting: DHQ Hospital affiliated with Punjab Medical College Faisalabad. Period: Jan-2009 to Dec-2009. Patient & Method: 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 ß-hCG resolution time was 35 days. Conclusions: 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.

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