Medical Management of the Patient with an Ectopic Pregnancy
作者:
Megan Powell,
Jana Spellman,
期刊:
The Journal of Perinatal & Neonatal Nursing
(OVID Available online 1996)
卷期:
Volume 9,
issue 4
页码: 31-43
ISSN:0893-2190
年代: 1996
出版商: OVID
关键词: early screening;ectopic algorithm;ectopic pregnancy;human chorionic gonadotropin;methotrexate protocol;surgical intervention;vaginal probe ultrasound
数据来源: OVID
摘要:
Ectopic pregnancies are the leading cause of pregnancy-related death during the first trimester. Historically, the treatment for an ectopic pregnancy was emergency laparotomy, which included salpingectomy. In 1987, research began at the Regional Medical Center at Memphis, in conjunction with the University of Tennessee, examining early detection and medical treatment for ectopic pregnancy. Pharmacologic management of an unruptured, size-appropriate ectopic pregnancy is now an established standard of care. The present protocol recommends single-dose methotrexate. This form of methotrexate has proven to be a successful, cost-effective alternative to traditional surgical management of ectopic pregnancies
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