Jan 1, 1991

Conservative treatment of ectopic pregnancy

Annals of the New York Academy of Sciences
P YlöstaloO Ylikorkala


As a conservative nonsurgical treatment of an early ectopic pregnancy, local prostaglandin, parenteral or local methotrexate, local hyperosmolar glucose, and also expectant management have been used successfully in selected cases. The success rate of conservative treatment has been 71%-100% and that of tubal patency after different kinds of conservative treatment 72-93% of patients. In the present study of expectant management in early ectopic pregnancy in patients with decreasing serum hCG levels, spontaneous resolution was observed in 64.6% of patients and in the total series of 207 ectopic pregnancies in 15.0% of patients. Expectant management of early ectopic pregnancy is recommended when emergency surgery is not needed on admission and the serum hCG level is decreasing as noted in two consecutive estimations with an interval of 1-2 days.

  • References23
  • Citations6


Mentioned in this Paper

Glucose Metabolism Disorders
Fallopian Tubes
Parenteral Route of Drug Administration
Ectopic Pregnancy
Uterine Adnexae Structure
Postoperative Complications
Pregnancy, Ovarian

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