AI Article Synopsis
- Ectopic pregnancies make up 1.5% to 2% of all pregnancies in the U.S., with about 10% occurring in nontubal locations, leading to increased health risks for the mother.
- Advances in ultrasound have improved the early diagnosis of these pregnancies, enabling the use of minimally invasive treatments.
- The article outlines the local injection technique for treating nontubal ectopic pregnancies, discussing potential injectables, diagnostic criteria, alternative treatments, and patient outcomes.
Article Abstract
Ectopic pregnancies account for 1.5% to 2% of all pregnancy in the United States. Of these, approximately 10% implant in nontubal locations, including the abdominal cavity, cervix, ovary, interstitial portion of the fallopian tube, broad ligament, the uterine cornua, or within a cesarean section scar. Because these pregnancies tend to present later than typical tubal pregnancies, they have been associated with greater maternal morbidity and mortality. Advances in ultrasound technology have allowed for earlier diagnosis of nontubal ectopic pregnancies, which in turn has led to the development of novel minimally invasive techniques to manage them. One of these methods involves the local injection of 1 of several agents directly into the ectopic pregnancy. In this article we provide a guide to this technique of local injection, including an overview of the potential agents that can be used, and review the diagnostic and specific ultrasound criteria, other possible treatment options, and overall outcomes for nontubal ectopic pregnancies.
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| http://dx.doi.org/10.1016/j.jmig.2017.07.008 | DOI Listing |
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