A Review of Medical Treatment of Ectopic Pregnancy with Systemic Methotrexate
Journal Title: Indian Obstetrics & Gynaecology - Year 2016, Vol 6, Issue 3
Abstract
Introduction: The aim of this review is to reassess the effectiveness of systemic methotrexate for the treatment of selected cases of ectopic pregnancy. Materials & Methods: A retrospective review of 21 cases of ectopic pregnancy from January 2010 to September 2014 who received systemic methotrexate at the Buraimi Hospital, Oman. Buraimi Hospital is a regional referral hospital under Ministry of Health (MOH), Sultanate of Oman. Results: There were total of 21 cases included in the study who received systemic methotrexate. Of these 13 (62%) cases were successfully treated with single dose of Injection methotrexate. Four patients (19%) required additional dose of Injection methotrexate. Total 17 cases out of 21 (81%) were successfully treated with systemic methotrexate. Four cases (19%) who received single dose of Inj. methotrexate underwent surgery (having failed medical treatment) for tubal abortion/tubal rupture. Conclusion: With early diagnosis & adopting proper selection criteria medical treatment of ectopic pregnancy with systemic methotrexate is an effective & safe alternative to surgical treatment.
Authors and Affiliations
Vandita Patil, Dr. Usha Varghese, Dr. Samina Begum, Dr. Kaukab Naheed
Keywords
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