19,024 results match your criteria Ectopic Pregnancy


Cervical Ectopic Pregnancy: A Rare Site of Implantation.

J Emerg Med 2019 Apr 16. Epub 2019 Apr 16.

Department of Obstetrics and Gynecology, Loyola University Medical Center, Maywood, Illinois.

Background: Cervical ectopic pregnancies are rare, comprising < 1% of ectopic pregnancies, and life threatening if there is a delay in treatment or a misdiagnosis.

Case Report: This case report describes a presentation of cervical ectopic pregnancy. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: This case report reviews nonsurgical and surgical treatment options for patients with cervical ectopic pregnancies. Read More

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http://dx.doi.org/10.1016/j.jemermed.2019.03.024DOI Listing

The Gynecologic Health Consequences of Chlamydia trachomatis Infection in Military Servicewomen.

Semin Reprod Med 2018 Nov 19;36(6):340-350. Epub 2019 Apr 19.

Department of Clinical Investigation, Madigan Army Medical Center, Tacoma, Washington.

is the most common sexually transmitted bacterial infection in the United States. Within the U.S. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1678752
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http://dx.doi.org/10.1055/s-0039-1678752DOI Listing
November 2018
4 Reads

Contraception after pregnancy.

Acta Obstet Gynecol Scand 2019 Apr 18. Epub 2019 Apr 18.

University of Milan, Milano, Lombardia, Italy.

Whatever the outcome, pregnancy provides the opportunity to offer effective contraception to couples motivated to avoid another pregnancy. This narrative review summarises the evidence for health providers, drawing attention to current guidelines, on which contraceptive methods can be used, and when they should be started after pregnancy, whatever its outcome. Fertility returns within one month of the end of pregnancy unless breastfeeding occurs. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/aogs.13627
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http://dx.doi.org/10.1111/aogs.13627DOI Listing
April 2019
1 Read

Management of caesarean scar pregnancy with high dose intravenous methotrexate infusion therapy: 10-year experience at a single tertiary centre.

Eur J Obstet Gynecol Reprod Biol 2019 Apr 9;237:28-32. Epub 2019 Apr 9.

Women's and Newborn Services, Royal Brisbane and Women's Hospital, Herston, Australia.

Objective: Incidence of caesarean scar pregnancy (CSP) is increasing due to rising caesarean section rate and advanced imaging modalities. At present, there is no consensus to recommend any specific intervention. In our centre, we have adopted the high dose intravenous methotrexate therapy followed by folinic acid for the management of CSP. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2019.04.008DOI Listing
April 2019
1 Read

Tubal hydatidiform mole treated with salpingotomy: A case report.

Clin Case Rep 2019 Apr 19;7(4):653-655. Epub 2019 Feb 19.

Department of Gynecology Obstetrics and Gynecology Hospital of Fudan University Shanghai China.

Tubal hydatidiform mole is rare and mostly treated with salpingectomy. This manuscript presented a case treated with salpingotomy plus methotrexate that possessed a satisfactory outcome. Our report adds to the experience of using salpingotomy in tubal molar patients. Read More

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http://dx.doi.org/10.1002/ccr3.2037DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452468PMC
April 2019
1 Read

Heterotopic pregnancy with suspicion of superfetation after the intrauterine insemination cycle with ovulation induction using clomiphene citrate: A case report.

Clin Pract 2019 Jan 25;9(1):1129. Epub 2019 Mar 25.

Department of Obstetrics and Gynecology, Ageo Central General Hospital, Ageo-shi, Saitama-ken.

At 22 days after intrauterine insemination with ovulation induction using clomiphene citrate at a previous hospital, a 30-year-old woman was admitted to our hospital owing to right lower quadrant abdominal pain. We diagnosed threatened abortion because of a gestational sac in the uterus on transvaginal ultrasonography. The next day, she complained of increased abdominal pain. Read More

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http://dx.doi.org/10.4081/cp.2019.1129DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444374PMC
January 2019
1 Read

Ultrasound classification and clinical analysis of ovarian pregnancy: A study of 12 cases.

J Gynecol Obstet Hum Reprod 2019 Apr 11. Epub 2019 Apr 11.

Department of Ultrasound, Qilu Hospital of Shandong University (Qingdao), Qingdao, China. Electronic address:

Objective: To evaluate the clinical significance of preoperative ultrasound diagnosis and classification of ovarian pregnancy (OP).

Methods: The ultrasonographic reports, medical records, and operative summaries were reviewed for twelve women with a confirmed diagnosis of OP. According to the ultrasonographic appearance, OP was classified into two types. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24687847183045
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http://dx.doi.org/10.1016/j.jogoh.2019.04.003DOI Listing
April 2019
2 Reads

Heterotopic atypical trophoblasts mimicking ectopic choriocarcinoma coexistent with a viable intrauterine pregnancy: A diagnostic dilemma.

Gynecol Oncol Rep 2019 May 26;28:91-93. Epub 2019 Mar 26.

Department of Obstetrics and Gynecology, University of Washington, Seattle, WA, United States of America.

•Ectopic choriocarcinoma coexistent with viable IUP is rare but has been reported.•Atypical and proliferative trophoblasts are normal in an early conceptus.•Evaluation including MRI and CXR did not reveal metastatic choriocarcinoma. Read More

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http://dx.doi.org/10.1016/j.gore.2019.03.014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441726PMC
May 2019
1 Read

Comparison of perinatal outcomes following blastocyst and cleavage-stage embryo transfer: analysis of 10 years' data from a single centre.

Reprod Biomed Online 2019 Jan 25. Epub 2019 Jan 25.

Department of Cell Biology and Genetics, School of Basic Medical Sciences, Xi'an Jiaotong University Health Science Centre, Xi'an, China. Electronic address:

Research Question: Are there greater risks of adverse perinatal outcomes, in particular of congenital malformations, after blastocyst transfer compared with cleavage-stage embryo transfer in IVF?

Design: This was a retrospective cohort analysis from a centre for assisted reproduction at a public hospital in China over the period 2006-2015. The analysis covered all women who conceived (15,254) and newborns (16,213) from IVF/intracytoplasmic sperm injection (ICSI) cycles with cleavage-stage embryo transfer or blastocyst transfer. The principal outcome measures were congenital malformations, preterm birth (PTB), low birthweight (LBW), small for gestational age (SGA) and large for gestational age (LGA). Read More

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http://dx.doi.org/10.1016/j.rbmo.2018.12.031DOI Listing
January 2019
2 Reads
3.015 Impact Factor

Spontaneous Heterotopic Triplet Pregnancy with a Two Viable Intrauterine Embryos and an Ectopic One with Right Tubal Rupture.

Rev Bras Ginecol Obstet 2019 Apr 10. Epub 2019 Apr 10.

Instituto da Circulação, Curitiba, PR, Brazil.

Heterotopic pregnancy (HP) is defined as the simultaneous development of an intra- and an extra uterine gestation. The occurrence of a spontaneous triplet HP is an exceptionally rare medical condition. We report the case of a young woman with spontaneous heterotopic triplets at 8 weeks of gestation, with a misdiagnosis of topic twins and acute appendicitis. Read More

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http://dx.doi.org/10.1055/s-0039-1683910DOI Listing
April 2019
1 Read

Pregnancy outcomes in patients with multiple sclerosis treated with teriflunomide: Clinical study data and 5 years of post-marketing experience.

Mult Scler 2019 Apr 10:1352458519843055. Epub 2019 Apr 10.

Department of Pediatrics, Rady Children's Hospital and University of California San Diego, La Jolla, CA, USA.

Background: Teriflunomide is contraindicated in pregnancy. Some pregnancies have occurred despite guidance to use effective contraception.

Objectives: To report outcomes of pregnancies occurring in teriflunomide clinical trials and the post-marketing setting. Read More

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http://dx.doi.org/10.1177/1352458519843055DOI Listing
April 2019
1 Read

Life-threatening Complications in Pregnancy in a Teaching Hospital in Kolkata, India.

J Obstet Gynaecol India 2019 Apr 2;69(2):115-122. Epub 2018 Apr 2.

1Department of Obstetrics and Gynecology, NRS Medical College, 138 AJC Bose Road, Kolkata, West Bengal India.

Objectives: To test the application of a clinical definition of life-threatening complications in pregnancy and determine the level of near miss maternal morbidity and mortality.

Methods: A prospective observational study was conducted in the obstetrics and gynaecology department, NRS Medical College, Kolkata, India, to identify life-threatening complications using a modification of the Mantel's criteria. The main outcome measures were validity of identification criteria, main causes and incidence of life-threatening complications in pregnancy, maternal near miss: case fatality rates, morbidity-mortality index and use rate of effective interventions. Read More

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http://link.springer.com/10.1007/s13224-018-1106-8
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http://dx.doi.org/10.1007/s13224-018-1106-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6430273PMC
April 2019
2 Reads

Valproic Acid Leads New Neurons Down the Wrong Path.

Authors:
Steve C Danzer

Epilepsy Curr 2019 Mar-Apr;19(2):132-133

Ectopic Neurogenesis Induced by Prenatal Antiepileptic Drug Exposure Augments Seizure Susceptibility in Adult Mice Sakai A, Matsuda T, Doi H, Nagaishi Y, Kato K, Nakashima K. Proc Natl Acad Sci U S A. 2018;115(16):4270-4275. Read More

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http://dx.doi.org/10.1177/1535759719835366DOI Listing
April 2019
4 Reads

Point of care ultrasound is associated with decreased emergency department length of stay for symptomatic early pregnancy.

Am J Emerg Med 2019 Mar 21. Epub 2019 Mar 21.

Beth Israel Deaconess Medical Center, Department of Emergency Medicine, 1 Deaconess Rd, Rosenberg 2, Boston, MA 0215, USA. Electronic address:

Introduction: Emergency physicians (EP) can accurately rule out ectopic pregnancy with pelvic point of care ultrasound (PPOCUS). Multiple studies have suggested that PPOCUS may decrease length of stay (LOS) for emergency department (ED) patients presenting with early symptomatic pregnancy compared to comprehensive ultrasound (CUS). This systematic review and meta-analysis examines the association between the use of PPOCUS vs CUS and ED LOS. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.03.025DOI Listing
March 2019
2 Reads

Complications of Assisted Reproductive Technology.

Emerg Med Clin North Am 2019 May;37(2):239-249

Department of Obstetrics and Gynecology, Washington University in St. Louis, 660 South Euclid, Mailbox 8064-37-905, Saint Louis, MO 63110, USA.

Although only accounting for a small percentage of infants born in the United States each year, assisted reproductive technology (ART) has become a more common means of conception since the first in vitro fertilization baby was born in 1978. An understanding of the ART process, medications, and complications is becoming essential for emergency medicine practice. Much of the surveillance data focuses on ART complications that are likely to be less relevant in the acute care setting, but ovarian hyperstimulation syndrome, ectopic pregnancy, and ovarian torsion are 3 diagnoses with high potential morbidity and mortality that emergency physicians should not miss. Read More

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http://dx.doi.org/10.1016/j.emc.2019.01.005DOI Listing
May 2019
4 Reads

Complications in Early Pregnancy.

Emerg Med Clin North Am 2019 May;37(2):219-237

Department of Emergency Medicine, Canton-Potsdam Hospital, 50 Leroy Street, Potsdam, NY 13676, USA. Electronic address:

Early in pregnancy women frequently experience nausea, vomiting, and vaginal bleeding. Nausea and vomiting can be mild, managed by dietary modifications and medications, or severe, requiring intravenous fluids and medications. Care should be used when selecting medications for nausea to avoid additional side effects or potential harm to the developing fetus. Read More

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http://dx.doi.org/10.1016/j.emc.2019.01.004DOI Listing
May 2019
4 Reads

The effect of morphological types of extrauterine ectopic pregnancies on the accuracy of pre-operative ultrasound diagnosis.

Ultrasound Obstet Gynecol 2019 Apr 1. Epub 2019 Apr 1.

Institute for Women's Health, Faculty of Population Health Sciences, University College London (UCL), London, UK.

Objectives: The aim of this study was to assess the overall accuracy of the transvaginal ultrasound scan (TVS) diagnosis of all types of extrauterine ectopic pregnancy (EUEP) in a large group of women who were managed surgically. We also examined the positive predictive value (PPV) of the different ultrasound morphological types of EUEP, using visual confirmation of ectopic pregnancy on surgery as the reference standard.

Methods: We performed a retrospective observational study of all pregnant women who underwent emergency surgery following ultrasound diagnosis of EUEP in a single Early Pregnancy Unit between January 2009 and December 2017. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/uog.20274
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http://dx.doi.org/10.1002/uog.20274DOI Listing
April 2019
5 Reads

Direct Methotrexate Injection into the Gestational Sac for Nontubal Ectopic Pregnancy: A Review of Efficacy and Outcomes from a Single Institution.

J Minim Invasive Gynecol 2019 Mar 28. Epub 2019 Mar 28.

Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of Colorado School of Medicine.

Study Objective: To evaluate the efficacy of nontubal ectopic pregnancy (NTEP) management with direct methotrexate (MTX) injection into the gestational sac.

Design: Retrospective Chart Review SETTING: Tertiary academic and teaching hospital PATIENTS: All cases of confirmed NTEP were retrospectively identified from 2012 to 2017.

Intervention: Ultrasound-guided direct injection of MTX into the fetal pole and surrounding gestational sac and a single dose of systemic MTX with or without fetal intracardiac injection of potassium chloride (KCl). Read More

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http://dx.doi.org/10.1016/j.jmig.2019.03.016DOI Listing
March 2019
1 Read

Corifollitropin alfa for ovarian stimulation in in vitro fertilization: a systematic review and meta-analysis of randomized controlled trials.

Fertil Steril 2019 Apr;111(4):722-733

IVIRMA Madrid, Madrid, Spain; Department of Gynecology and Obstetrics, Rey Juan Carlos University, Madrid, Spain.

Objective: To evaluate the effectiveness of corifollitropin alfa in improving the success of IVF.

Design: Systematic review and meta-analysis.

Setting: Not applicable. Read More

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http://dx.doi.org/10.1016/j.fertnstert.2018.11.047DOI Listing
April 2019
5 Reads

Ultrasound of the First Trimester.

Radiol Clin North Am 2019 May;57(3):617-633

Department of Radiology, Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141, USA.

Ultrasound is the imaging study of choice for detection and full characterization of early pregnancies based on its accuracy, low cost, safety profile, and abundant availability. This article reviews the goals and utility of first-trimester ultrasound in gestation localization, viability determination, and abnormal pregnancies, including ectopic implantation, retained products, and molar pregnancy. Read More

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http://dx.doi.org/10.1016/j.rcl.2019.01.006DOI Listing
May 2019
3 Reads

Intravesical pregnancy due to vesicouterine fistula.

Am J Obstet Gynecol 2019 Mar 26. Epub 2019 Mar 26.

Department of Radiology and Oncology, Instituto de Radiologia (INRAD), University of Sao Paulo, School of Medicine.

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http://dx.doi.org/10.1016/j.ajog.2019.03.016DOI Listing
March 2019
1 Read

Danaparoid is effective and safe for patients with obstetric antiphospholipid syndrome.

Mod Rheumatol 2019 Mar 29:1-13. Epub 2019 Mar 29.

a Department of Obstetrics and Gynecology , Nagoya City University, Graduate School of Medical Sciences , Nagoya , Aichi , Japan.

Objective: The objective is to evaluate whether danaparoid is effective in improving the live birth rate in patients with obstetric antiphospholipid syndrome (oAPS).

Methods: This prospective study included 91 pregnancies of 60 patients with oAPS diagnosed according to criteria of the International Congress on APS. Live birth rates, adverse pregnancies and perinatal outcomes were compared among patients treated with danaparoid and low dose aspirin (danaparoid group, LDA), unfractionated heparin (UFH) and LDA (UFH group) and LDA and/or prednisolone (LDA group). Read More

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http://dx.doi.org/10.1080/14397595.2019.1602241DOI Listing
March 2019
3 Reads

Increased pregnancy complications following frozen-thawed embryo transfer during an artificial cycle.

J Assist Reprod Genet 2019 Mar 29. Epub 2019 Mar 29.

Institute of Reproduction and Stem Cell Engineering, School of Basic Medicine, Central South University, Changsha, China.

Purpose: This study aimed to clarify the risks of adverse pregnancy outcomes in patients and their offspring after frozen embryo transfer (FET) during an artificial cycle (AC).

Methods: We conducted a retrospective cohort study that included all FET cycles and subsequent deliveries in a single centre between August 2013 and March 2016. Pregnancy, obstetric and neonatal outcomes were compared among patients treated during an AC or a natural cycle with luteal phase support (NC-LPS). Read More

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http://dx.doi.org/10.1007/s10815-019-01420-1DOI Listing
March 2019
3 Reads

Successful laparoscopic management of diaphragmatic pregnancy:a rare case report and brief review of literature.

BMC Pregnancy Childbirth 2019 Mar 28;19(1):99. Epub 2019 Mar 28.

Departments of Gynecology, Zhejiang Provincial People's Hospital, People's Hospital Of Hangzhou Medical College, No. 158 Shangtang Rd, Hangzhou, 310014, People's Republic of China.

Background: Abdominal ectopic pregnancies are rare category of ectopic pregnancies.We describe a ectopic pregnancy implanted on the surface of diaphragm and highlight the difficult clinical course of an abdominal ectopic pregnancy managed with strategic procedural intervention.

Case Presentation: A 33-year-old Chinese woman with abdominal pain was diagnosed with ectopic pregnancy implanted in the liver according to CT and advised to transfer the patient to tertiary referral center. Read More

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http://dx.doi.org/10.1186/s12884-019-2248-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438013PMC
March 2019
1 Read

Predictive value of a modified classification of fallopian tube status on prognosis of tubal factor infertility after laparoscopic surgery.

Medicine (Baltimore) 2019 Mar;98(13):e14952

Department of Obstetrics and Gynecology, Fujian Provincial Maternity and Children's Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian.

Built on 2 existing classification systems, this study was to develop a new classification system to better predict the pregnancy prognosis after laparoscopic surgery in patients with tubal factor infertility and accordingly propose a management strategy.We followed up 423 patients suffering from tubal factor infertility who had undergone hysteroscopic-laparoscopic surgery for 2 years without in vitro fertilization and embryo transfer (IVF/ET). Based on the operative reports, a new, modified classification of fallopian tube status (hereafter referred to as the modified classification) was developed with reference to the 2 existing classification systems (the r-AFS classification of pelvic adhesions and the scoring system of distal tubal obstruction). Read More

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http://dx.doi.org/10.1097/MD.0000000000014952DOI Listing
March 2019
4 Reads

Severe morbidity with ectopic pregnancy is associated with late presentation.

J Obstet Gynaecol 2019 Mar 27:1-5. Epub 2019 Mar 27.

a Bart's Health Trust , Whipps Cross Hospital , London , UK.

This article investigates if severe morbidity associated with ectopic pregnancy (EP) is related to patient characteristics or the quality of patient care after presentation. This is a retrospective study of women who had surgical management of tubal EP between 2008 and 2012. Severe maternal morbidity was defined as a blood loss ≥800 mL. Read More

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http://dx.doi.org/10.1080/01443615.2018.1557610DOI Listing
March 2019
1 Read

Surgical emergencies in pregnancy in the era of modern diagnostics and treatment.

Taiwan J Obstet Gynecol 2019 Mar;58(2):177-182

R.G.Kar Medical College and Hospital, India.

Pregnancy can be complicated with different surgical emergencies which may potentially endanger the mother as well as foetus. In the modern era of advanced diagnostics and treatments, neither of them in response to a surgical emergency in a pregnant woman should be delayed. Appropriate early intervention is essential to decrease the morbidity and mortality. Read More

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http://dx.doi.org/10.1016/j.tjog.2019.01.001DOI Listing
March 2019
1 Read

[Behavior and attitudes towards smoking among student midwives in Libreville].

Rev Mal Respir 2019 Mar 20;36(3):342-349. Epub 2019 Mar 20.

Service de médecineinterne, centre hospitalier universitaire de Libreville (CHUL), Libreville, Gabon; Département de médecine interne et spécialités médicales, faculté de médecine des sciences de la santé (FMSS), université des sciences de la santé (USS), Libreville, Gabon.

Background: The midwife, in taking on a public health role, is one of the most important resources for the prevention of smoking and in helping smoking cessation among women of childbearing age thanks to their numerous contacts with pregnant women. With this in mind, we conducted a study among student midwives to examine their smoking behavior, their attitudes towards smoking, and their participation in prevention.

Method: This was a descriptive cross-sectional study conducted from 15 January to 15 February 2018 using a self-administered questionnaire and included the student midwives of the University of Health Science at Libreville (Gabon). Read More

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http://dx.doi.org/10.1016/j.rmr.2018.08.022DOI Listing
March 2019
1 Read

Various BhCG monitoring protocols for predicting the success of single-dose methotrexate in the treatment of ectopic pregnancy.

J Obstet Gynaecol 2019 Mar 20:1-5. Epub 2019 Mar 20.

b Department of Obstetrics and Gynecology , Izmir provincial health directorate , Izmir , Turkey.

We investigated various monitoring protocols on the success of methotrexate therapy in patients with tubal ectopic pregnancy. The data from patients who received single-dose methotrexate therapy as their first-line treatment was reviewed. The Beta-human chorionic gonadotropin (BhCG) days 1-4 and days 1-7 follow-up protocols were compared with the BhCG day 4-7 follow-up protocol, in terms of the treatment. Read More

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http://dx.doi.org/10.1080/01443615.2019.1575344DOI Listing
March 2019
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Stromal Fibroblasts Drive Host Inflammatory Responses That Are Dependent on Chlamydia trachomatis Strain Type and Likely Influence Disease Outcomes.

MBio 2019 03 19;10(2). Epub 2019 Mar 19.

Center for Immunobiology and Vaccine Development, UCSF Benioff Children's Hospital Oakland Research Institute, Oakland, California, USA

ocular strains cause a blinding disease known as trachoma. These strains rarely cause urogenital infections and are not found in the upper genital tract or rectum. Urogenital strains are responsible for a self-limited conjunctivitis and the sequelae of infertility, ectopic pregnancy, and hemorrhagic proctitis. Read More

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http://dx.doi.org/10.1128/mBio.00225-19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426598PMC
March 2019
1 Read

The effects of methotrexate and uterine arterial embolization in patients with cesarean scar pregnancy: A retrospective case-control study.

Medicine (Baltimore) 2019 Mar;98(11):e14913

In this study, we explored the optimal treatment for cesarean scar pregnancy (CSP). One hundred three women diagnosed with CSP received 1 of the 3 treatments: local or systemic methotrexate (MTX) injection and surgery (MTX + Surg), uterine arterial embolization (UAE) and surgery (UAE + Surg) or surgery only (Surg only). We compared their therapeutic effects and their follow-up results. Read More

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http://dx.doi.org/10.1097/MD.0000000000014913DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426622PMC
March 2019
1 Read
5.723 Impact Factor

[Follow-up and counselling after pelvic inflammatory disease: CNGOF and SPILF Pelvic Inflammatory Diseases Guidelines].

Gynecol Obstet Fertil Senol 2019 Mar 13. Epub 2019 Mar 13.

Pôle d'obstétrique - reproduction - gynécologie, centre Aliénor d'Aquitaine, hôpital Pellegrin, place Amélie-Raba-Léon, 33076 Bordeaux cedex, France; UMR 5234, microbiologie fondamentale & pathogénicité, université de Bordeaux, 33076 Bordeaux, France. Electronic address:

Objectives: To determine the procedures for follow-up and counselling of patients after pelvic inflammatory disease (PID).

Methods: A search in the Cochrane database, PubMed, and Google was performed using keywords related to follow-up and PID to identify reports published between 1990 and 2018. All studies published in French and English relevant to the areas of focus were included. Read More

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http://dx.doi.org/10.1016/j.gofs.2019.03.009DOI Listing
March 2019
1 Read

Bleeding Nodule on the Ligamentum Hepatogastricum: An Unexpected Ectopic Pregnancy.

J Minim Invasive Gynecol 2019 Mar 13. Epub 2019 Mar 13.

Department of Gynecology and Obstetrics, Tianjin Medical University General Hospital, Tianjin, China (all authors).. Electronic address:

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http://dx.doi.org/10.1016/j.jmig.2019.03.005DOI Listing
March 2019
3 Reads

Letter to the Editors - Correspondence: Management of a cornual ectopic pregnancy.

J Visc Surg 2019 Apr 14;156(2):179-180. Epub 2019 Mar 14.

Department of Obstetrics and Gynecology №1, Marat Ospanov, West Kazakhstan State Medical University (WKSMU), Aktobe, Kazakhstan. Electronic address:

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http://dx.doi.org/10.1016/j.jviscsurg.2019.02.010DOI Listing
April 2019
1 Read

Evaluation of a follow-up customized strategy for women treated with methotrexate for an ectopic pregnancy: An observational study.

Eur J Obstet Gynecol Reprod Biol 2019 Mar 6;236:32-35. Epub 2019 Mar 6.

Department of Gynaecology and Obstetrics, Conception University Hospital, 147 Boulevard Baille, 13005, Marseille, France. Electronic address:

Objective: To evaluate a follow-up customized strategy used in women treated with methotrexate for tubal ectopic pregnancy.

Study Design: This observational monocentric study took place from November 2009 to December 2015 in the emergency unit at La Conception University Hospital in Marseille, France. 440 women were treated by methotrexate for tubal ectopic pregnancy. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2019.02.037DOI Listing
March 2019
1 Read

Safety of levonorgestrel 52 mg intrauterine system compared to copper intrauterine device: a population-based cohort study.

Contraception 2019 Mar 12. Epub 2019 Mar 12.

Univ. Bordeaux, Inserm, Bordeaux Population Health Research Centre, team PHARMACOEPIDEMIOLOGY, UMR 1219, Bordeaux, France; CHU de Bordeaux, Pôle de Santé Publique, Service de Pharmacologie Médicale, Bordeaux, France.

Objective: To compare the risk of all-cause death, hospitalizations (any cause), ectopic pregnancy, pelvic inflammatory disease or infection, uterine perforation, device removal, neuro-psychiatric drugs initiation, or new psychiatric visit(s) between levonorgestrel (LNG) 52 mg intrauterine system (IUS) and copper intrauterine device (IUD) users in France.

Study Design: We identified a historical cohort of women aged 20-55 years with a first dispensing of either LNG 52 mg IUS or copper-IUD between January 1, 2010, and December 31, 2014, in the French National Claims database, SNDS. We used propensity score matching to balance the two groups on baseline sociodemographic and clinical characteristics to minimize confounding. Read More

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http://dx.doi.org/10.1016/j.contraception.2019.02.011DOI Listing
March 2019
5 Reads

Delayed diagnosis of a cesarean scar pregnancy: a case report.

J Med Case Rep 2019 Mar 7;13(1):53. Epub 2019 Mar 7.

Department of Obstetrics and Gynecology, Kyungpook National University Hospital, School of Medicine, 807 Hogukro, Buk-gu, Daegu, 41404, Republic of Korea.

Background: Cesarean scar pregnancy is rare but may be related to early uterine rupture and may result in massive hemorrhage. Nowadays, most cesarean scar pregnancies are diagnosed early and can be managed properly. However, diagnoses of cesarean scar pregnancies that develop in the obstetrical area are sometimes delayed. Read More

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http://dx.doi.org/10.1186/s13256-019-1983-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6404313PMC
March 2019
3 Reads

Hydrosalpinx - Salpingostomy, salpingectomy or tubal occlusion.

Best Pract Res Clin Obstet Gynaecol 2019 Jan 29. Epub 2019 Jan 29.

Human Development and Health Academic Unit, Faculty of Medicine, University of Southampton, Southampton, SO16 6YD, UK; Department of Obstetrics and Gynaecology, Princess Anne Hospital, Level F, Coxford Road, Southampton, SO16 5YA, UK.

Tubal factors account for approximately 25% of cases of infertility, and the most severe manifestation of tubal disease is hydrosalpinx, accounting for 10-30% of tubal diseases. Hydrosalpinx is a distension or dilatation of the fallopian tube in the presence of a distal tubal occlusion, and the most common cause is pelvic inflammatory disease. Women with hydrosalpinges have lower implantation and pregnancy rates in assisted reproductive technology (ART), due to a combination of mechanical and chemical factors thought to disrupt the endometrial environment. Read More

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http://dx.doi.org/10.1016/j.bpobgyn.2019.01.011DOI Listing
January 2019
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Previous experiences of pregnancy and early motherhood among women living with HIV: a latent class analysis.

AIDS Care 2019 Mar 1:1-8. Epub 2019 Mar 1.

a Department of Sexology , Université du Québec à Montréal , Montreal , Quebec , Canada.

Previous maternity experiences may influence subsequent reproductive intentions and motherhood experiences. We used latent class analysis to identify patterns of early motherhood experience reported for the most recent live birth of 905 women living with HIV enrolled in the Canadian HIV Women's Sexual and Reproductive Health Cohort Study (CHIWOS). Four indicators were used: difficulties getting pregnant, feelings when finding out pregnancy, feelings during pregnancy, and feelings during the first year postpartum. Read More

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http://dx.doi.org/10.1080/09540121.2019.1587374DOI Listing
March 2019
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An Efficient Conservative Treatment Option for Cervical Pregnancy: Transcatheter Intra-Arterial Methotrexate Infusion Combined with Uterine Artery Embolization Followed by Curettage.

Med Sci Monit 2019 Feb 28;25:1558-1565. Epub 2019 Feb 28.

Department of Gynecological Oncology, Tianjin Central Hospital of Gynecology and Obstetrics, Tianjin, China (mainland).

BACKGROUND The aim of this study was to assess the clinical outcomes of conservative treatments for cervical ectopic pregnancy (CEP). MATERIAL AND METHODS The series of CEP cases at our hospital between 2009 and 2016 were reviewed retrospectively. The patients were treated using systemic methotrexate infusion (MTX group, n=9), angiographic uterine artery embolization (UAE group, n=11), or transcatheter intra-artery methotrexate infusion combined with UAE (UAE+MTX group, n=13). Read More

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http://dx.doi.org/10.12659/MSM.913262DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6404629PMC
February 2019
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Incidence of gestational trophoblastic disease in South Korea: a longitudinal, population-based study.

PeerJ 2019 20;7:e6490. Epub 2019 Feb 20.

Department of Obstetrics and Gynecology, College of Medicine, Gyeongsang National University Hospital, Jinju, Republic of Korea.

Introduction: We investigated the rate and longitudinal trends of gestational trophoblastic disease (GTD) incidence in the Republic of Korea between 2009 and 2015 using population-based data.

Materials And Methods: Data of patients diagnosed with GTD from 2009 to 2015 were obtained from the Health Insurance Review and Assessment Service/National Inpatient Sample (HIRA-NIS) in the Republic of Korea. The HIRA annually provides the HIRA-NIS, a collection of clinical data from over one million people. Read More

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http://dx.doi.org/10.7717/peerj.6490DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6387577PMC
February 2019

Emphasis on the off-label use of methotrexate for ectopic pregnancy.

Am J Obstet Gynecol 2019 Feb 23. Epub 2019 Feb 23.

Department of Clinical Pharmacology, Faculty of Medicine, School of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece. Electronic address:

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http://dx.doi.org/10.1016/j.ajog.2019.02.043DOI Listing
February 2019
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Management of acute abdomen in pregnancy: current perspectives.

Int J Womens Health 2019 8;11:119-134. Epub 2019 Feb 8.

Department of Obstetrics and Gynecology, Sultan Qaboos Hospital, Salalah PO 601, Oman.

Acute abdomen in pregnancy represents a unique diagnostic and therapeutic challenge. Acute abdominal pain in pregnancy can occur due to obstetric factors as well for reasons that are unrelated to pregnancy. The diagnostic approach of acute abdomen during pregnancy can be tricky owing to the altered clinical presentations brought about by the anatomical and physiological changes of gestation along with the reluctance to use certain radiological investigations for fear of harming the fetus. Read More

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http://dx.doi.org/10.2147/IJWH.S151501DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6371947PMC
February 2019
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Correlation between Ovarian Reserve and Incidence of Ectopic Pregnancy after Fertilization and Embryo Transfer.

Yonsei Med J 2019 Mar;60(3):285-290

Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.

Purpose: To elucidate the correlation between ovarian reserve and the incidence of ectopic pregnancy (EP) following in vitro fertilization and embryo transfer (IVF/ET) cycles.

Materials And Methods: In this observational study, 430 fresh IVF/ET cycles were examined from patient data of two university hospital infertility clinics. All included patients were positive for β-human chorionic gonadotropin (hCG) at 2 weeks after oocyte retrieval via controlled ovarian stimulation. Read More

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http://dx.doi.org/10.3349/ymj.2019.60.3.285DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6391525PMC
March 2019
2 Reads
1.263 Impact Factor

Maternal and neonatal outcomes of adolescent pregnancy.

J Gynecol Obstet Hum Reprod 2019 Feb 19. Epub 2019 Feb 19.

University of Health Sciences Tepecik Education and Research Hospital, İzmir, Turkey.

Objective: To examine the maternal and neonatal outcomes of adolescent pregnancies.

Methods: Deliveries that occurred in a high-volume tertiary center between January 2013 and December 2016 were retrospectively analyzed. We studied pregnant women who were under 19 years of age at the time at which they gave birth, and who underwent regular follow-up. Read More

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http://dx.doi.org/10.1016/j.jogoh.2019.02.011DOI Listing
February 2019
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Diagnosis of Placental Position by Early First-Trimester Ultrasound: A Pilot Study.

Reprod Sci 2019 Feb 21:1933719119831778. Epub 2019 Feb 21.

1 Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of Tennessee Health Science Center, Memphis, TN, USA.

Objective:: Conventional wisdom is that placental location cannot be identified before 8 weeks' gestation when the placenta first becomes hyperechogenic on ultrasound. We sought to evaluate whether placental location could be reliably diagnosed between 5 and 6 weeks' gestation.

Materials And Methods:: This was a retrospective analysis of prospectively acquired data. Read More

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http://dx.doi.org/10.1177/1933719119831778DOI Listing
February 2019
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Lithopedion Causing Intestinal Obstruction in a 71-Year-Old Woman: A Case Report Litopedia causando obstrução intestinal em idosa de 71 anos: relato de caso.

Rev Bras Ginecol Obstet 2019 Feb 20;41(2):129-132. Epub 2019 Feb 20.

Division of Medicine, Fortaleza Health Squadron, Força Aérea Brasileira, Fortaleza, CE, Brazil.

Ectopic pregnancy is the leading cause of pregnancy-related death during the first trimester, and it occurs in 1 to 2% of pregnancies. Over 90% of ectopic pregnancies are located in the fallopian tube. Abdominal pregnancy refers to an ectopic pregnancy that has implanted in the peritoneal cavity, external to the uterine cavity and fallopian tubes. Read More

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http://dx.doi.org/10.1055/s-0038-1676060DOI Listing
February 2019
2 Reads