Do you need to definitively diagnose the location of a pregnancy of unknown location The case for yes

Thursday, November 1, 2012
A definitive diagnosis should be made for PUL. Misclassification carries significant potential consequences. For nonviable PUL, presumptive diagnosis of EP without uterine curettage may be inaccurate.

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Early pregnancy failure Beware of the pitfalls of modern management

Thursday, November 1, 2012
Modern management of early pregnancy failure has reduced morbidity and mortality, but new issues such as missed diagnosis and inappropriate use of methotrexate have emerged.

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Fertility after tubal ectopic pregnancy Results of a population-based study

Thursday, November 1, 2012
General population study of spontaneous fertility after ectopic pregnancy, according to the treatment. Conservative strategy should be favored, especially for patients with risk factors of infertility.

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Management of tubal ectopic pregnancy Methotrexate and salpingostomy are preferred to preserve fertility

Thursday, November 1, 2012
Reflections on "Fertility following tubal ectopic pregnancy: results of a population-based study" by De Bennetot et al.

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Ectopic pregnancy How the diagnostic and therapeutic management has changed

Thursday, November 1, 2012
The diagnosis and treatment of ectopic pregnancy has changed drastically over the last century. A comprehensive overview of the historical developments leading to current clinical practice was attempted.

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Is there a need to definitively diagnose the location of a pregnancy of unknown location The case for no

Thursday, November 1, 2012
We propose the argument against the routine follow-up of women with a PUL, as the vast majority of these PULs will either spontaneously resolve or continue as an intrauterine pregnancy.

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How and when human chorionic gonadotropin curves in women with an ectopic pregnancy mimic other outcomes Differences by race and ethnicity

Thursday, September 27, 2012
Ectopic pregnancy hCG curves mimic other outcomes in 27% of cases, and changes in the direction of the curve are associated with race and ethnicity.

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Role of routine monitoring of Liver and Renal Function during treatment of ectopic pregnancies with single-dose Methotrexate protocol

Thursday, June 7, 2012
Routine measurement of serum aspartate aminotransferase and creatinine levels may not be necessary before instituting a single-dose methotrexate protocol for the treatment of ectopic pregnancy.

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Performance of human chorionic gonadotropin curves in women at risk for ectopic pregnancy: exceptions to the rules

Friday, June 1, 2012
The hCG curves can validly predict outcome in women at risk for ectopic pregnancy; however, misclassification is common. Clinical judgment should trump prediction rules when change in hCG level nears suggested thresholds.

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Severe maternal morbidity in ectopic pregnancy is not associated with maternal factors but may be associated with quality of care

Wednesday, May 23, 2012
We report that severe maternal morbidity from hemorrhage in women with ectopic pregnancy is not associated with patient-related risk factors.

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Why does the fallopian tube fail in ectopic pregnancy? The role of activins, inducible nitric oxide synthase, and MUC1 in ectopic implantation

Friday, May 4, 2012
The pathologic expression of candidate molecules by tubes bearing an ectopic pregnancy does not determine the implantation site, but they may be involved in regulation of the trophoblast.

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