AI Article Synopsis
- Nontubal ectopic pregnancies are becoming more common and pose serious health risks, requiring specialized care for optimal management.
- Recent literature emphasizes the importance of early diagnosis and treatment, advocating for minimally invasive and fertility-preserving methods, including medication and surgical techniques.
- The Society of Maternal Fetal Medicine advises against expectant management for certain cases, but the best treatment options for nontubal ectopic pregnancies are still not clearly established.
Article Abstract
Purpose Of Review: Nontubal ectopic pregnancies appear to be increasing in prevalence. Increasingly, minimally invasive methods for management are being utilized. A current literature review and recommendations for management of nontubal ectopic pregnancy is presented in this review.
Recent Findings: Nontubal ectopic pregnancies are less common than tubal ectopic pregnancies but present a unique and significant threat to patient's health and are optimally managed by specialists familiar with the condition. Early diagnosis, prompt treatment and close follow-up to resolution are critical. Recent publications focus on fertility-sparing and conservative management through the use of medications both systemic and local; as well as minimally invasive surgical techniques. The Society of Maternal Fetal Medicine recommends against expectant management of cesarean scar pregnancies; however, optimal treatment is unknown and this holds true for management of other nontubal ectopic pregnancies.
Summary: Minimally invasive and fertility sparing management should be the mainstay in treatment of stable patients with nontubal ectopic pregnancy.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/GCO.0000000000000893 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Ectopic pregnancy on the uterosacral ligament post-double frozen embryo transfer in an endometriosis patient: case report and review of management and treatment options.
Eur Rev Med Pharmacol Sci
October 2024
Sandro Pertini Hospital, Obstetrics and Gynecology Unit, Rome, Italy.
Background: Ectopic pregnancy (EP) is a serious obstetric condition that can be life-threatening, with various risk factors contributing to its development. In particular, in vitro fertilization (IVF) techniques may lead to an increased rate EP. Additionally, also endometriosis seems to be related to this particular obstetrical condition.
View Article and Find Full Text PDFClinical profile and management of non-tubal ectopic pregnancy: Experience from a tertiary care hospital in the United Arab Emirates (UAE).
Pak J Med Sci
October 2024
Dr. Muna Khalfan, Saudi & Arab Board. (Fetal Medicine Consultant, Head of Dept. OBGYN), Department of Obstetrics & Gynecology, Al Qassimi Women's & Children's Hospital, Emirates Health Services, Sharjah, United Aab Emirates.
Objective: To study the clinical profile and management outcomes of non-tubal ectopic pregnancy at a tertiary care hospital in the United Arab Emirates (UAE).
Methods: Case files of non-tubal ectopic pregnancy (NTEP) patients from October 2017 to October 2020 presented to Alqasmi Women and Children's Hospital, Sharjah, were included in the study. The data was extracted from available medical records.
A 20 year experience in the management of non-tubal ectopic pregnancies in a tertiary hospital - a retrospective review.
Reprod Health
July 2024
Department of Obstetrics and Gynaecology, Queen Mary Hospital, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, 6/F Professorial Block, 102 Pokfulam Road, Pokfulam, Hong Kong SAR, China.
Background: Non-tubal ectopic pregnancies account for < 10% of all ectopic pregnancies. Due to its rarity and wide variation in clinical practice, there is no guideline or consensus for its management. We reported our 20-year experience in the management of non-tubal ectopic pregnancies in a tertiary hospital.
View Article and Find Full Text PDFSubserosal pregnancy: Systematic review with proposal of new diagnostic criteria and ectopic pregnancy classification.
Eur J Obstet Gynecol Reprod Biol
June 2024
Department of Medicine, Surgery and Health Sciences, University of Trieste, 34100 Trieste, Italy; Institute for Maternal and Child Health IRCCS "Burlo Garofolo", 34100 Trieste, Italy.
Ectopic pregnancy (EP) is a pregnancy where the growing blastocyst implants outside the endometrial cavity. EP account approximately for 0.5-1% of all pregnancies, and extrauterine implant is the leading cause of woman mortality in the first trimester of gestation.
View Article and Find Full Text PDFNon-tubal ectopic pregnancy treatment experiences of a tertiary care center.
Arch Gynecol Obstet
August 2024
Department of Obstetrics and Gynecology, Bilkent City Hospital, Ankara, Turkey.
Aim: To evaluate the incidence, the risk factors, and the treatment outcomes of Non-tubal ectopic pregnancies (NTEP) treated in a tertiary care center.
Material And Methods: A total of 110 NTEP cases treated between 2014 and 2019 were included in the retrospective study. The study cohort was divided into 6 groups according to the pregnancy localization: 87 cesarean scar pregnancies (CSPs), 7 ovarian pregnancies, 6 interstitial pregnancies, 4 rudimentary horn pregnancies, 4 abdominal pregnancies, and 2 cervical pregnancies.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!