Retrospective review of the medical management of ectopic pregnancies with methotrexate at a South African tertiary hospital
| Autor: | C J B Muller, L de Waard, J L Butt, Catherine Cluver |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Resuscitation Ectopic pregnancy Referral business.industry General surgery medicine.medical_treatment lcsh:R Obstetrics and Gynecology lcsh:Medicine Audit medicine.disease lcsh:Gynecology and obstetrics Patient safety Informed consent Laparotomy medicine Methotrexate Medical emergency business lcsh:RG1-991 medicine.drug |
| Zdroj: | South African Journal of Obstetrics and Gynaecology, Vol 20, Iss 3, Pp 84-87 (2014) South African Journal of Obstetrics and Gynaecology; Vol 20, No 3 (2014); 84-87 |
| ISSN: | 2305-8862 0038-2329 |
| Popis: | Background. An ectopic pregnancy can be a life-threatening condition. Early diagnosis with ultrasonography and quantitative beta-human chorionic gonadotrophin (β-hCG) measurement has improved early and accurate diagnosis and treatment. Medical management with methotrexate internationally has a success rate of up to 93%, but there is a paucity of data on this treatment option in developing countries. Objective. To determine the success of methotrexate treatment for ectopic pregnancies at a referral hospital in a developing country. This non-surgical, outpatient treatment seems a good option in hospitals with an ever-rising pressure on bed occupation and long waiting lists for emergency surgery. Methods. A 5-year retrospective audit was performed on 124 patients treated for ectopic pregnancies with methotrexate at Tygerberg Hospital, Cape Town, South Africa. Results. With success defined as a β-hCG level of |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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