Expectant Management in Tubal Ectopic Pregnancy in ThiQar Province: Interventional Comparative Trial
Keywords:B-HCG, TVUS, tubal ectopic pregnancy, Thi-Qar
Background: Ectopic pregnancy one of the life threatening condition, that can’t be prevented but can
managed safely. Rationale: rolling out of surgical intervention to medical management is hope of all, even
though surgeon. Aim of the study: to compare between the expectant and surgical management of tubal
ectopic pregnancy. Patients and Methods: Single blinded, controlled and interventional study conducted
in Bint Al-Huda teaching hospital in Thi-Qar-Iraq, extended all over the 2019 since January till last week
of December . Totally (74) patients enrolled in the study, all of them were complained from tubal ectopic
pregnancy, questionnaire, B-HCG, Trans- vaginal US were the main tools of follow up, Results: The target
patients for our study was 116, 34 of them were excluded, 16 was with positive fetal heart, 20 were had
hemoperitonium extend beyond the pelvis at the time of presentation and 8 patients were patients refuse
fallow up (expected management). Most of them(40%) were older than 34 years, followed by (32.5%) with
in age of 32.5%, while the youngest age group occupying minimal proportion (27%), According to ?-HCG
concentration most of them (58%) were with <1500 mlU/ml concentration. Conclusion: Highly proportion
of tubal pregnancy managed by follow up without surgical intervention. ?-HCG titer and trans- vaginal US
are the golden keys of management
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