Diagnosis and management of ectopic pregnancy

Abstract

Recently, substantial progress has been made in diagnosis and treatment, complicated ectopic pregnancy is a not negligible cause of maternal mortality, being the leading cause of maternal death in the first trimester of pregnancy and responsible for 6% of maternal deaths. The aim of this study is to evaluate patients with ectopic pregnancy from a clinical, paraclinical and therapeutic point of view and to compare the influence of the management on hospitalization days and the preservation of patients fertility. This paper presents a prospective case-control study for 65 patients, who have been diagnosed serologically and ultrasonically. In the group of patients studied, 25% patients were treated with methotrexate, 65% were required surgical treatment, 4% required surgical and medical treatment, and 2% the management of expectation. Laparoscopy significantly reduces the hospitalization period, contributing decisively to the rapid reintegration into society, increasing patient comfort, an excellent mental tone that promotes earlier healing, the number of complications decreases.