18,958 results match your criteria Pregnancy Ectopic


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

Unexpected Tubal Pregnancy at 13 Weeks' Gestation that Was Treated with Laparoscopic Surgery Under Massive Hemoperitoneum.

Gynecol Minim Invasive Ther 2019 Jan-Mar;8(1):30-32. Epub 2019 Jan 23.

Department of Obstetrics and Gynecology, Itami City Hospital, Itami, Hyogo, Japan.

An advanced second trimester tubal pregnancy is rarely encountered because almost all ecopic pregnancy are diagnosed at an early stage. Transvaginal sonography is simple and useful for diagnosing ectopic pregnancy. However, diagnosing the site of ectopic pregnancy and gestational age is sometimes difficult. Read More

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http://dx.doi.org/10.4103/GMIT.GMIT_40_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367918PMC
January 2019

Management of Cesarean Scar Pregnancy among Vietnamese Women.

Gynecol Minim Invasive Ther 2019 Jan-Mar;8(1):12-18. Epub 2019 Jan 23.

Department of Gynecology, Tudu Hospital, Ho Chi Minh City, Vietnam.

Objective: To demonstrate the efficacy of management for cesarean scar ectopic pregnancies up to 8 weeks' gestation using ultrasound-guided Foley balloon catheter placement combined with dilation and curettage (D and C) at TuDu Hospital.

Subjects And Methods: A quasi-experimental study was conducted from March 2015 to March 2016. Patients with imaging-confirmed cesarean ectopic pregnancies were admitted to an inpatient unit at Tu Du Hospital. Read More

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http://dx.doi.org/10.4103/GMIT.GMIT_8_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367916PMC
January 2019

Temporal trends in severe morbidity and mortality associated with ectopic pregnancy requiring hospitalisation in Washington State, USA: a population-based study.

BMJ Open 2019 Feb 19;9(2):e024353. Epub 2019 Feb 19.

Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, British Columbia, Canada.

Objective: To examine temporal trend in maternal mortality/severe morbidity associated with hospitalisation due to ectopic pregnancy.

Design: A population-based observational study.

Setting And Participants: All women hospitalised for ectopic pregnancy in Washington State, USA, 1987-2014 (n=20 418). Read More

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http://dx.doi.org/10.1136/bmjopen-2018-024353DOI Listing
February 2019

Risk of ectopic pregnancy and tubal infertility following gonorrhoea and chlamydia infections.

Clin Infect Dis 2019 Feb 18. Epub 2019 Feb 18.

University of New South Wales, Sydney, Australia.

Gonorrhoea and chlamydia are important causes of pelvic inflammatory disease. Chlamydia also causes long-term sequelae, but the role of gonorrhoea is unclear. We followed 300,000 reproductive-aged women for 10 years for ectopic pregnancy and tubal infertility; our findings suggest that both infections confer similar increases in risk of these outcomes. Read More

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http://dx.doi.org/10.1093/cid/ciz145DOI Listing
February 2019

Hysteroscopic management of an interstitial ectopic pregnancy.

J Minim Invasive Gynecol 2019 Feb 15. Epub 2019 Feb 15.

Department of Obstetrics and Gynecology, Clinico University Hospital "Lozano Blesa", University of Zaragoza, Zaragoza, Spain.

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http://dx.doi.org/10.1016/j.jmig.2019.02.005DOI Listing
February 2019

Ruptured Tubal Ectopic Pregnancy at Fifteen Weeks Gestational Age.

Clin Pract Cases Emerg Med 2019 Feb 29;3(1):62-64. Epub 2019 Jan 29.

Madigan Army Medical Center, Department of Emergency Medicine, Joint Base Lewis-McChord, Washington.

Tubal ectopic pregnancies are commonly diagnosed during the first trimester. Here we present a second-trimester tubal ectopic pregnancy that was previously misdiagnosed as an intrauterine pregnancy on a first-trimester ultrasound. A 39-year-old gravida 1 para 0 woman at 15 weeks gestation presented with 10 days of progressive, severe abdominal pain, along with vaginal bleeding and intermittent vomiting for two months. Read More

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http://dx.doi.org/10.5811/cpcem.2019.1.40860DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6366386PMC
February 2019

Ruptured Ectopic Pregnancy in the Presence of an Intrauterine Device.

Clin Pract Cases Emerg Med 2019 Feb 22;3(1):51-54. Epub 2019 Jan 22.

University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama.

Ruptured ectopic pregnancy is the leading cause of first trimester maternal mortality. The diagnosis of ectopic pregnancy should always be suspected in patients with abdominal pain, vaginal bleeding or syncope. While the use of an intrauterine device (IUD) markedly reduces the incidence of intrauterine pregnancy, it does not confer equal protection from the risk of ectopic pregnancy. Read More

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http://dx.doi.org/10.5811/cpcem.2019.1.41345DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6366366PMC
February 2019

3-D Ultrasound for Ectopic Pregnancy Diagnosis: Looking Beyond the Grey-Scale.

J Obstet Gynaecol Can 2019 Feb 13. Epub 2019 Feb 13.

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Ottawa, Ottawa, ON.

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http://dx.doi.org/10.1016/j.jogc.2018.11.010DOI Listing
February 2019
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[Impact of the quality of ultrasound scan performed in gynecological emergencies in the diagnosis of ectopic pregnancy].

Gynecol Obstet Fertil Senol 2019 Feb 12. Epub 2019 Feb 12.

Service de Gynécologie Obstétrique, C.H.I. de Poissy Saint-Germain, Poissy, France; Unité de recherche EA 7285 - Risques cliniques et sécurité en santé des femmes et en santé périnatale (RISCQ), Université de Versailles-Saint-Quentin (UVSQ), Saint-Quentin-en-Yvelines, France.

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http://dx.doi.org/10.1016/j.gofs.2019.02.003DOI Listing
February 2019
1 Read

Heterotopic pregnancy - how easily you can go wrong in diagnosing? A case study.

J Ultrason 2018 ;18(75):355-358

1st Department of Obstetrics and Gynecology, Centre of Postgraduate Medical Education , Warsaw , Poland.

Heterotopic pregnancy is a rare, but potentially life-threatening pathology. The diagnosis of heterotopic pregnancy is still one of the biggest challenges in modern gynecology. The incidence of those pregnancies in natural conception is about 1:30000. Read More

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http://jultrason.pl/index.php/issues/volume-18-no-75/heterot
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http://dx.doi.org/10.15557/JoU.2018.0052DOI Listing
January 2018
3 Reads

The untapped potential of placenta-enriched molecules for diagnostic and therapeutic development.

Placenta 2019 Feb 4. Epub 2019 Feb 4.

Translational Obstetrics Group, Department of Obstetrics and Gynecology, Mercy Hospital for Women, University of Melbourne, Heidelberg, Victoria, 3084, Australia; Mercy Perinatal, Mercy Hospital for Women, Victoria, Australia. Electronic address:

Pregnancy complications such as fetal growth restriction and preeclampsia are diseases with limited biomarkers for prediction, and a complete lack of therapeutic options. We define placenta-enriched molecules as those that are highly expressed in the placenta relative to all other human tissues. Many exist including mRNAs, miRNAs and proteins. Read More

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http://dx.doi.org/10.1016/j.placenta.2019.02.002DOI Listing
February 2019
1 Read

Rupture of an unsuspected ectopic pregnancy following a hysterosalpingography-A case report.

Int J Surg Case Rep 2019 Jan 29;55:179-182. Epub 2019 Jan 29.

Department of Reproductive Medicine, KK Women's and Children's Hospital, Singapore.

Introduction: Hysterosalpingography (HSG) is routinely performed in the mid-follicular phase of a woman's menstrual cycle for cavity and tubal patency assessment as a part of the infertility screening. A pre-procedural pregnancy test is not routinely required unless the patient reports abnormal menstrual bleeding or irregular menstrual pattern.

Presentation Of Case: We present the case of a 29 year-old sub fertile woman who had a HSG performed on day 12 of her menstrual cycle. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.01.015DOI Listing
January 2019
1 Read

The effectiveness of tubal flushing with different contrast media on fertility outcomes: a systematic review and network meta-analysis.

Ultrasound Obstet Gynecol 2019 Feb 10. Epub 2019 Feb 10.

Robinson Research Institute and Adelaide Medical School, University of Adelaide, North Adelaide, 5006, Australia.

Objectives: To compare the effectiveness and safety of tubal flushing with oil- or water-based contrast medium, alone or in combination, with each other or no tubal flushing in women with infertility; and to evaluate the effectiveness of tubal flushing on fertility outcomes over time.

Methods: We performed a systematic review and network meta-analysis. We searched electronic databases (MEDLINE, EMBASE and Cochrane Central Register of Controlled Trials) and trial registries up to 25 September 2018. Read More

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http://dx.doi.org/10.1002/uog.20238DOI Listing
February 2019
1 Read

Levonorgestrel intrauterine contraceptive systems (13.5 mg and 52 mg) and risk of ectopic pregnancy.

Acta Obstet Gynecol Scand 2019 Feb 8. Epub 2019 Feb 8.

Department of Clinical Sciences, Danderyd Hospital, Karolinska Institute, Stockholm, Sweden.

Introduction: The objective was to investigate the Pearl index for ectopic pregnancy in women using levonorgestrel intrauterine system (LNG-IUS) at time of conception.

Material And Methods: This was a sub-study of a hospital based historical cohort including women with an ectopic pregnancy diagnosed in four referral hospitals in Stockholm Sweden between December 2013 and April 2017. Study participants and type of contraception at time of conception were identified through the electronic medical chart system. Read More

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http://dx.doi.org/10.1111/aogs.13564DOI Listing
February 2019
2 Reads

Can early βhCG change and baseline progesterone level predict treatment outcome in patients receiving single dose Methotrexate protocol for tubal ectopic pregnancy?

Arch Gynecol Obstet 2019 Feb 8. Epub 2019 Feb 8.

CHU Toulouse, Pôle de Gynécologie Obstétrique, Department of Obstetrics and Gynecology, Hôpital Paule de Viguier, 31059, Toulouse, France.

Introduction: We aimed to assess the prognostic significance of early βhCG change and baseline progesterone level on treatment outcome among women receiving single dose Methotrexate protocol for tubal ectopic pregnancy (EP).

Material And Methods: Retrospective study involving all consecutive patients diagnosed with EP and receiving Methotrexate therapy form January 2015 to December 2016. Patients were stratified into 2 groups according to treatment outcome: success group (n = 66) involved women who displayed complete resolution of serum βhCG levels following a single course of Methotrexate; failure group (n = 55) included patients who required repeated Methotrexate administration and/or surgical management. Read More

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http://dx.doi.org/10.1007/s00404-019-05068-1DOI Listing
February 2019
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A case report of an abnormal trend in hCG levels in a pregnancy complicated by ovarian hyperstimulation syndrome.

Case Rep Womens Health 2019 Jan 23;21:e00096. Epub 2019 Jan 23.

Genesis Fertility, Division of Reproductive Endocrinology & Infertility at Maimonides Medical Center, 6010 Bay Pkwy., Brooklyn, New York, USA.

Objective: To present a case of abnormally trending hCG levels due to ovarian hyperstimulation syndrome (OHSS) and to portray the obscurities of this commonly used method for tracking early pregnancies.

Design: Case report.

Setting: Outpatient ART facility. Read More

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http://dx.doi.org/10.1016/j.crwh.2019.e00096DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357681PMC
January 2019
1 Read

Persistent omental trophoblastic implantation following salpingostomy, salpingectomy and methotrexate for ectopic pregnancy: A case report.

Case Rep Womens Health 2019 Jan 14;21:e00095. Epub 2019 Jan 14.

Royal Prince Alfred Hospital, Research Institute, Missenden Road, Camperdown, NSW, Australia.

2% of all pregnancies are ectopic. Optimal surgical management is currently salpingectomy over salpingostomy, secondary to the risks of persistent trophoblastic tissue or omental implants (15%). However, rare cases of omental trophoblastic implants following laparoscopic salpingectomy have been noted in the literature. Read More

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http://dx.doi.org/10.1016/j.crwh.2019.e00095DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350100PMC
January 2019
1 Read

Influence of GnRH antagonist in reproductive women on in vitro fertilization and embryo transfer in fresh cycles.

Biomed Rep 2019 Feb 29;10(2):113-118. Epub 2018 Nov 29.

Department of Reproductive Medicine, Linyi People's Hospital, Linyi, Shandong 276003, P.R. China.

The aim of the present study was to evaluate the influence of a gonadotropin-releasing hormone (GnRH) antagonist compared with a GnRH agonist on fertilization (IVF) cycle outcome in reproductive women. The characteristics of treatment and outcomes of pregnancy were retrospectively compared between the antagonist (GnRH-A, antagonist group) and agonist (GnRH-a, agonist group) regimens. The area under the curve (AUC) of receiver operating characteristic (ROC) curves was also used to evaluate whether the endometrial thickness (cm), progesterone (P) level (ng/ml) and estradiol (E) level (pg/ml) on the day of human chorionic gonadotropin (hCG) administration (hCG day) had the ideal sensitivity and specificity for predicting clinical pregnancy. Read More

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http://dx.doi.org/10.3892/br.2018.1176DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350209PMC
February 2019
2 Reads

Facile Fabrication of Surface-Imprinted Macroporous Films for Chemosensing of Human Chorionic Gonadotropin Hormone.

ACS Appl Mater Interfaces 2019 Feb 20. Epub 2019 Feb 20.

Institute of Physical Chemistry , Polish Academy of Sciences , Kasprzaka 44/52 , 01-224 Warsaw , Poland.

We present an improved approach for the preparation of highly selective and homogeneous molecular cavities in molecularly imprinted polymers (MIPs) via the combination of surface imprinting and semi-covalent imprinting. Toward that, first, a colloidal crystal mold was prepared via the Langmuir-Blodgett (LB) technique. Then, human chorionic gonadotropin (hCG) template protein was immobilized on the colloidal crystal mold. Read More

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http://dx.doi.org/10.1021/acsami.8b17951DOI Listing
February 2019
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Reproductive outcomes after surgical treatment of asherman syndrome: A systematic review.

Best Pract Res Clin Obstet Gynaecol 2019 Jan 3. Epub 2019 Jan 3.

Assisted Reproductive Technology Unit, Department of Obstetrics and Gynaecology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong. Electronic address:

In this systematic review, we analysed the reproductive outcomes of hysteroscopic adhesiolysis in women with Asherman syndrome (AS). We searched PubMed, Web of Science and Cochrane Library (from database inception to April 2018) and selected studies that quantitatively described the reproductive outcomes. We assessed study quality and pooled rate data for each outcome. Read More

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http://dx.doi.org/10.1016/j.bpobgyn.2018.12.009DOI Listing
January 2019

Influence of different post-thaw culture time on the clinical outcomes of different quality embryos.

Adv Clin Exp Med 2019 Jan 31. Epub 2019 Jan 31.

Center of Reproductive Medicine, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, China.

Background: In thawed embryo transfer cycles, the most common method is to transfer the embryos after 2 h of culture. Clinical outcomes of frozen-thawed cleavage embryo transfer cycles regarding the embryos status and the culture time of frozen-thawed cleavage embryos were limited and did not elucidate all unclear issues.

Objectives: The objective of this study was to examine the clinical outcomes of frozen-thawed cleavage embryo transfer cycles according to the embryos status and the culture time (2 h or overnight). Read More

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http://dx.doi.org/10.17219/acem/91010DOI Listing
January 2019
1 Read

Restricted abortion law in El Salvador.

Int J Gynaecol Obstet 2019 Feb 1. Epub 2019 Feb 1.

Regional Coordinator for Central America and Caribbean, FIGO Initiative on Prevention of Unsafe Abortion, San Salvador, El Salvador.

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http://dx.doi.org/10.1002/ijgo.12759DOI Listing
February 2019
1 Read

Deregulation of miR-324/Kiss1/kisspeptin in early ectopic pregnancy: Mechanistic findings with clinical and diagnostic implications.

Am J Obstet Gynecol 2019 Jan 29. Epub 2019 Jan 29.

Instituto Maimónides de Investigación Biomédica de Cordoba (IMIBIC); Department of Cell Biology, Physiology and Immunology, University of Cordoba; Hospital Universitario Reina Sofia; CIBER Fisiopatología de la Obesidad y Nutrición, Instituto de Salud Carlos III, Cordoba, Spain; Institute of Biomedicine, University of Turku, Turku, Finland. Electronic address:

Background: Ectopic pregnancy (EP) is a life-threatening condition, for which novel screening tools enabling early accurate diagnosis would improve clinical outcomes. Kisspeptins, encoded by KISS1, play an essential role in human reproduction, at least partially by regulating placental function and possibly embryo implantation. Kisspeptin levels are massively elevated in normal pregnancy and reportedly altered in various gestational pathologies. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00029378193028
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http://dx.doi.org/10.1016/j.ajog.2019.01.228DOI Listing
January 2019
3 Reads

First Trimester Bleeding: Evaluation and Management.

Am Fam Physician 2019 Feb;99(3):166-174

University of Michigan Medical School, Ann Arbor, MI, USA.

Approximately one-fourth of pregnant women will experience bleeding in the first trimester. The differential diagnosis includes threatened abortion, early pregnancy loss, and ectopic pregnancy. Pain and heavy bleeding are associated with an increased risk of early pregnancy loss. Read More

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February 2019
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Ovarian Ectopic Pregnancy as IVF Complication: First Report in a Gestational Carrier.

Case Rep Obstet Gynecol 2018 31;2018:8190805. Epub 2018 Dec 31.

MyHealth Centre, London, ON, Canada.

Ovarian pregnancy is a rare subtype of ectopic pregnancy with an increased incidence after assisted conception. We present a 31-year-old gestational carrier who presented with suprapubic and pelvic pain at 6 weeks and 2 days' gestation. An ultrasound scan demonstrated an empty uterus and a complex mass in the left adnexa. Read More

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http://dx.doi.org/10.1155/2018/8190805DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333000PMC
December 2018
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TOTAL HYSTEROSCOPIC TREATMENT OF CERVICAL PREGNANCY: "THE TWO STEPS TECHNIQUE".

J Minim Invasive Gynecol 2019 Jan 25. Epub 2019 Jan 25.

Department of Medical, Surgical, and Health Sciences, University of Trieste, 34149 Trieste, Italy.

Study Objective: To evaluate the efficacy of a total surgical treatment of ectopic cervical pregnancy, with a minimally invasive approach performed by hysteroscopy.

Design: Step-by-step video demonstration of the surgical technique using 5 mm hysteroscopy followed by 10 mm resectoscopy.

Setting: A Research and University Hospital; IRCCS Burlo Garofolo of Trieste, Italy. Read More

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http://dx.doi.org/10.1016/j.jmig.2019.01.009DOI Listing
January 2019
1 Read

Predictive factors of methotrexate treatment success in ectopic pregnancy: A single-center tertiary study.

North Clin Istanb 2018 Sep;5(3):227-231

Department of Obstetrics and Gynecology, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul.

Objective: It is controversial whether medical or surgical treatment options have more successful results in ectopic pregnancy treatment. Although high pretreatment serum hCG levels have been known to be the most important predictor, the appropriate treatment modality for a specific range of hCG level remains unclear. Furthermore, the variables that make a patient a bad candidate for single-dose methotrexate treatment is unclear. Read More

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http://dx.doi.org/10.14744/nci.2017.04900DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323567PMC
September 2018
1 Read

Uterine leiomyosarcoma mimicking chronic ruptured ectopic pregnancy

J Turk Ger Gynecol Assoc 2019 Jan 28. Epub 2019 Jan 28.

Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India

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http://dx.doi.org/10.4274/jtgga.2019.0007DOI Listing
January 2019
4 Reads

Laparoscopic Reversal of Tubal Sterilization; A Retrospective Study Over 135 Cases.

Front Surg 2018 9;5:79. Epub 2019 Jan 9.

Department of Obstetrics and Gynecology, St-Vincent Clinic, Rocourt, Belgium.

To evaluate the pregnancy and delivery rates of laparoscopic tubal reanastomosis. From 2003 to 2013, 135 laparoscopic tubal reversals were performed according to the four stitch technique. The parameters studied, included positive pregnancy test, miscarriage, ectopic pregnancy, termination of pregnancy, term delivery, post-operative time to conception, post-operative hysterosalpingography, and spermogram. Read More

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http://dx.doi.org/10.3389/fsurg.2018.00079DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333701PMC
January 2019
1 Read

Obstetrical complications of thin endometrium in assisted reproductive technologies: a systematic review.

J Assist Reprod Genet 2019 Jan 25. Epub 2019 Jan 25.

Virginia Center for Reproductive Medicine, Reston, VA, USA.

Purpose: The aim of the systematic review is to describe the obstetrical complications associated with pregnancies in the context of a thin endometrial lining.

Methods: Systematic review of the literature.

Results: Patients who conceive in the setting of a thin endometrium have a significantly increased risk of early pregnancy loss, namely miscarriage and ectopic pregnancy. Read More

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http://dx.doi.org/10.1007/s10815-019-01407-yDOI Listing
January 2019
2 Reads

Endometrial scratching for infertile women undergoing a first embryo transfer: a systematic review and meta-analysis of published and unpublished data from randomized controlled trials.

Fertil Steril 2019 Jan 22. Epub 2019 Jan 22.

Unit of Gynecology and Obstetrics, Department of Women and Children's Health, University of Padua, Padua, Italy.

Objective: To investigate endometrial scratch injury (ESI) as an intervention to improve IVF outcome in women undergoing a first ET.

Design: Systematic review and meta-analysis.

Setting: Not applicable. Read More

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http://dx.doi.org/10.1016/j.fertnstert.2018.12.008DOI Listing
January 2019
2 Reads

Liver heterotopia associated with congenital diaphragmatic hernia: Two case reports and a review of the literature.

Medicine (Baltimore) 2019 Jan;98(4):e14211

Division of Pediatric Surgery, Department of Surgery, Jichi Medical University School of Medicine, Shimotsuke, Tochigi, Japan.

Rationale: Liver heterotopia associated with congenital diaphragmatic hernia (CDH) is a rare condition; to the best of our knowledge, only 17 cases have been reported to date. The histogenesis and clinicopathological features are largely unknown. We herein report 2 cases of liver heterotopia associated with CDH along with 17 cases described in the literature to shed light on their clinicopathological characteristics. Read More

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http://dx.doi.org/10.1097/MD.0000000000014211DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358339PMC
January 2019
2 Reads

An uncommon spontaneous right distal tubal pregnancy post bilateral laparoscopic sterilization: A case report.

Medicine (Baltimore) 2019 Jan;98(4):e14193

Department of Obstetrics and Gynecology, Chia-Yi Chang Gung Memorial Hospital.

Rationale: Tubal sterilization as a contraception method has a high success rate; however, it also carries a low risk of incidental pregnancy. A majority of these pregnancies are ectopic. In this study, we report a rare case of spontaneous right distal tubal pregnancy after bilateral laparoscopic tubal sterilization. Read More

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http://dx.doi.org/10.1097/MD.0000000000014193DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358390PMC
January 2019
1 Read

The treatment of cervical pregnancy with high-intensity focused ultrasound followed by suction curettage: report of three cases.

Int J Hyperthermia 2019 Jan 24:1-4. Epub 2019 Jan 24.

a Department of Obstetrics and Gynecology , The Third Xiangya Hospital of Central South University , Changsha , Hunan Province , China.

Objective: Cervical pregnancy (CP) is a rare type of ectopic pregnancy and is considered to be a life-threatening condition due to the risk of severe hemorrhage. Unfortunately, no consensus on standard conservative treatment for CP has been established. The study objective was to evaluate the efficacy and safety of high-intensity focused ultrasound (HIFU) followed by suction curettage for cervical pregnancy. Read More

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https://www.tandfonline.com/doi/full/10.1080/02656736.2018.1
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http://dx.doi.org/10.1080/02656736.2018.1563914DOI Listing
January 2019
5 Reads

Floating fetus: a rare complication of balloon tamponade treatment of caesarean scar ectopic pregnancy.

BMJ Case Rep 2019 Jan 22;12(1). Epub 2019 Jan 22.

Department of Diagnostic and Interventional Imaging, McGovern Medical School-UTHealth, Houston, Texas, USA.

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http://dx.doi.org/10.1136/bcr-2018-228500DOI Listing
January 2019
5 Reads

Pregnancy outcomes in women with kidney transplant: Metaanalysis and systematic review.

BMC Nephrol 2019 Jan 23;20(1):24. Epub 2019 Jan 23.

Division of Neonatology, Cincinnati Children's Hospital and Medical Center, Cincinnati, OH, USA.

Background: Reproductive function in women with end stage renal disease generally improves after kidney transplant. However, pregnancy remains challenging due to the risk of adverse clinical outcomes.

Methods: We searched PubMed/MEDLINE, Elsevier EMBASE, Scopus, BIOSIS Previews, ISI Science Citation Index Expanded, and the Cochrane Central Register of Controlled Trials from date of inception through August 2017 for studies reporting pregnancy with kidney transplant. Read More

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http://dx.doi.org/10.1186/s12882-019-1213-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6345071PMC
January 2019
7 Reads

A Randomized Trial of Endometrial Scratching before In Vitro Fertilization.

N Engl J Med 2019 01;380(4):325-334

From the Department of Obstetrics and Gynaecology, University of Auckland (S.L., D.O., C.F.), and Women's Health (L. Sadler) and Fertility Plus (D.G., C.F.), Auckland District Health Board, Auckland, Fertility Associates, Christchurch (S.A.W.), and Fertility Associates, Wellington (L. Searle, S.M.) - all in New Zealand; Bath Fertility Centre, Bath (S.A., E.N.), the Department of Medical Statistics, Manchester University NHS Foundation Trust, Manchester (J.W.), and the Department of Obstetrics and Gynaecology, King's College Hospital (K.V., H.H.), University College Hospital (L.W.), Homerton Fertility Centre, Homerton University Hospital NHS Foundation Trust (P.B.), and Guy's Hospital (Y.K.), London - all in the United Kingdom; the Department of Obstetrics and Gynecology, Institute of Clinical Sciences, University of Gothenburg, Reproductive Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden (C.S., A.S., C.B.); Leuven University Fertility Center, Department of Obstetrics and Gynecology, University Hospitals, Leuven, Belgium (A.H., K.P.); and Reproductive Services, Royal Women's Hospital, Melbourne, VIC, Australia (W.T.T.).

Background: Endometrial scratching (with the use of a pipelle biopsy) is a technique proposed to facilitate embryo implantation and increase the probability of pregnancy in women undergoing in vitro fertilization (IVF).

Methods: We conducted a pragmatic, multicenter, open-label, randomized, controlled trial. Eligible women were undergoing IVF (fresh-embryo or frozen-embryo transfer), with no recent exposure to disruptive intrauterine instrumentation (e. Read More

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http://www.nejm.org/doi/10.1056/NEJMoa1808737
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http://dx.doi.org/10.1056/NEJMoa1808737DOI Listing
January 2019
8 Reads

Alteration of the immune cell profiles in the pathophysiology of tubal ectopic pregnancy.

Am J Reprod Immunol 2019 Jan 23:e13093. Epub 2019 Jan 23.

Department of Obstetrics & Gynaecology, The University of Hong Kong, Hong Kong, SAR, China.

Tubal ectopic pregnancy (TEP) refers to implantation of conceptus in the fallopian tube. It makes up over 98% of ectopic pregnancy (EP), which is the leading cause of maternal morbidity and mortality in the first trimester of pregnancy. Immune cells at the maternal-fetal interface play important roles in the process of embryo implantation, stroma decidualization, and early placental development. Read More

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http://dx.doi.org/10.1111/aji.13093DOI Listing
January 2019
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Decidual Interleukin-22-Producing CD4+ T Cells (Th17/Th0/IL-22+ and Th17/Th2/IL-22+, Th2/IL-22+, Th0/IL-22+), Which Also Produce IL-4, Are Involved in the Success of Pregnancy.

Int J Mol Sci 2019 Jan 19;20(2). Epub 2019 Jan 19.

Department of Experimental and Clinical Medicine and DENOTHE Excellence Center, University of Florence, 50134 Florence, Italy.

Trophoblast expressing paternal HLA-C resembles a semiallograft, and could be rejected by maternal T cells. IL-22 seems to be involved in allograft rejection and thus could be responsible for miscarriages. We examined the role of decidual IL-22-producing CD4+ T on human pregnancy. Read More

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http://dx.doi.org/10.3390/ijms20020428DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6359245PMC
January 2019
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The Risk of Gynecologic and Urinary Tract Cancer with Pelvic Inflammatory Disease: A Population-Based Cohort Study.

J Cancer 2019 1;10(1):28-34. Epub 2019 Jan 1.

Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan.

The aim of the study was to determine the association between pelvic inflammatory disease (PID) and breast, colorectal, gynecologic and urinary tract cancer. The source of data was a longitudinal dataset compiled by the Longitudinal Health Insurance Database 2000 (LHID2000) which was collected by the National Health Insurance program. Cases of PID, at least two outpatient visits and one admission, were diagnosed from 2000 to 2013. Read More

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http://www.jcancer.org/v10p0028.htm
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http://dx.doi.org/10.7150/jca.29278DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329849PMC
January 2019
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Human chorionic gonadotropin value and its change prior to methotrexate treatment can predict the prognosis in ectopic tubal pregnancies.

Reprod Med Biol 2019 Jan 11;18(1):51-56. Epub 2018 Oct 11.

Department of Gynecology and Obstetrics Kyoto University Kyoto Japan.

Purpose: To investigate the role of beta-human chorionic gonadotropin (HCG) level and its change prior to methotrexate (MTX) treatment as predictors of treatment success and to access the posttreatment observation period for ectopic tubal pregnancy.

Methods: Clinical data of 41 females treated with MTX for tubal pregnancies were reviewed and analyzed retrospectively.

Results: Among 41 patients, 34 achieved complete resolution without surgery. Read More

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http://dx.doi.org/10.1002/rmb2.12247DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6332740PMC
January 2019
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The Effect of Preoperative Neutrophil-To-Lymphocyte Ratio and Platelet-To-Lymphocyte Ratio on Predicting Rupture Risk in Tubal Ectopic Pregnancies.

Gynecol Obstet Invest 2019 Jan 17:1-5. Epub 2019 Jan 17.

Department of Obstetrics and Gynecology, TOBB University Faculty of Medicine, Ankara, Turkey.

Background: Consecutive measurements of β-hCG levels and sonographic evaluation of adnexae are critical for choosing the optimal management in ampullar tubal ectopic pregnancies (EP). To select suitable patients for conservative approach, there is a need for an affordable and reliable marker for determining rupture risk. Evaluation of systemic inflammatory markers in combination with serum β-hCG levels and ultrasound might help to decide the appropriate treatment option. Read More

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https://www.karger.com/Article/FullText/496543
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http://dx.doi.org/10.1159/000496543DOI Listing
January 2019
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Migration of an intrauterine device causing severe hydronephrosis progressing to renal failure: A case report.

Medicine (Baltimore) 2019 Jan;98(3):e13872

Department of Obstetrics and Gynecology, People's Hospital of Zhengzhou University.

Rationale: Intrauterine device (IUD) is commonly used in China. Its complications include uterine perforation, IUD ectopic migration, etc. However, a migrated IUD rarely leads to renal failure. Read More

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http://dx.doi.org/10.1097/MD.0000000000013872DOI Listing
January 2019
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Trichomonas Vaginalis Infection among Women Attending laboratory Centers in Ilam, Iran.

Infect Disord Drug Targets 2019 Jan 17. Epub 2019 Jan 17.

Department of Parasitology, school of medicine, Ilam University of Medical Sciences, Ilam. Iran.

Trichomoniasis is known as a common venereal disease. It is estimated that 180 million people in the world are infected with this disease. The present study was conducted to estimate the prevalence of (Trichomonas vaginalis) T. Read More

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http://www.eurekaselect.com/169077/article
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http://dx.doi.org/10.2174/1871526519666190117120705DOI Listing
January 2019
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The orientation of a decellularized uterine scaffold determines the tissue topology and architecture of the regenerated uterus in rats.

Biol Reprod 2019 Jan 14. Epub 2019 Jan 14.

Department of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo.

A decellularized uterine scaffold (DUS) prepared from rats permits recellularization and regeneration of uterine tissues when placed onto a partially excised uterus and supports pregnancy in a fashion comparable to the intact uterus. The underlying extracellular matrix (ECM) together with an acellular, perfusable vascular architecture preserved in DUS is thought to be responsible for appropriate regeneration of the uterus. To investigate this concept, we examined the effect of the orientation of the DUS-preserving ECM and the vascular architecture on uterine regeneration through placement of a DUS onto a partially defective uterine area in the reversed orientation such that the luminal face of the DUS was outside and the serosal face was inside. Read More

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http://dx.doi.org/10.1093/biolre/ioz004DOI Listing
January 2019
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Single embryo transfer improve the perinatal outcome in singleton pregnancy.

J Matern Fetal Neonatal Med 2019 Jan 27:1-6. Epub 2019 Jan 27.

a Department of Obstetrics and Gynecology , Shanghai General Hospital of Nanjing Medical University , Shanghai , China.

Background And Objectives: Most of previous studies are comparing the perinatal outcome on singleton babies. There has been no study evaluating the possible effect of singleton embryo transfer on the perinatal outcomes in initial singleton pregnancy resulting from fresh embryo transfer. The purpose of our study is to access the effect of embryo transfer number on obstetric and perinatal risks in order to examine the role of single embryo transfer on perinatal outcomes on initial singleton pregnancy. Read More

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http://dx.doi.org/10.1080/14767058.2019.1571029DOI Listing
January 2019
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A Frenchman in England: Ectopic pregnancy, hydrosalpinx, and torsion. Who cares about the tubes? She can have IVF. Or maybe not.

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

Division of Child Health, Obstetrics & Gynaecology, University of Nottingham. Maternity, City Hospital, Hucknall Road, NG5 1PB, Nottingham, United Kingdom. Electronic address:

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https://linkinghub.elsevier.com/retrieve/pii/S24687847183058
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http://dx.doi.org/10.1016/j.jogoh.2019.01.004DOI Listing
January 2019
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Laparoscopic Removal of an Abdominal Pregnancy in the Pelvic Sidewall.

J Minim Invasive Gynecol 2019 Jan 9. Epub 2019 Jan 9.

Department of Obstetrics and Gynecology, Assuta Ashdod University Hospital, Ashdod, Israel (all authors), and the Faculty of Health Sciences, Ben-Gurion University, Beersheba, Israel (Dr. Barel).

Study Objective: To describe the presentation, diagnosis, and management of a patient with abdominal pregnancy and to illustrate the laparoscopic technique used to manage this patient.

Design: A descriptive study approved by our local Institutional Review Board. Consent was given from the patient. Read More

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http://dx.doi.org/10.1016/j.jmig.2018.12.020DOI Listing
January 2019
3 Reads

A Case of Pregnancy Complicated by Primary Hyperparathyroidism Due to a Parathyroid Adenoma.

Am J Case Rep 2019 Jan 14;20:53-59. Epub 2019 Jan 14.

Laboratory of Age-Related Metabolic and Endocrine Disorders, The Russian Gerontology Clinical Research Center, Moscow, Russian Federation.

BACKGROUND Primary hyperparathyroidism is most common in women during the menopause and its occurrence in pregnant women is rare. However, because neonatal mortality is associated with maternal hyperparathyroidism, early diagnosis is essential. This report describes the case of a late diagnosis of primary hyperparathyroidism in a 28-year-old pregnant woman and describes the effects on the mother and neonate. Read More

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http://dx.doi.org/10.12659/AJCR.912436DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6340266PMC
January 2019
2 Reads