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Search for ectopic pregnancy in all Journal Watch editions
Physician-authored summaries on the latest research on ectopic pregnancy, editorials on ectopic pregnancy, and perspectives on ectopic pregnancy - drawn from the top medical journals.
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You searched for: ectopic pregnancy
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How Best to Predict Ectopic Pregnancy
- February 16, 2012
- Robert W. Rebar, MD
- Women's Health
Clinical judgment plus serial human chorionic gonadotropin measurements are critical for avoiding errors of diagnosis.- Reviewing:
- Morse CB et al., Fertil Steril 2012 Jan; 97:101.
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Diagnosis and Management of Ectopic Pregnancies Continue to Evolve
- March 18, 2010
- Robert W. Rebar, MD
- Women's Health
Data document clinicians' growing comfort with use of methotrexate and laparoscopy to treat women with ectopic pregnancies.- Reviewing:
- Hoover KW et al., Obstet Gynecol 2010 Mar; 115:495. Lipscomb GH., Obstet Gynecol 2010 Mar; 115:487.
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Greatest Risk Factor for Ectopic Pregnancy: Previous Ectopic Pregnancy
- July 27, 2006
- Robert W. Rebar, MD
- General Medicine
Women with ectopic pregnancies were three times as likely as controls to have had previous ectopic pregnancies; multiple prior ectopic pregnancies raised risk even further.- Reviewing:
- Barnhart KT et al., Fertil Steril 2006 Jul; 86:36-43.
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Early Diagnosis of Ectopic Pregnancies Remains Challenging
- April 11, 2006
- Robert W. Rebar, MD
- General Medicine
Early diagnosis is difficult even with the use of ultrasound and serial hCG measurements.- Reviewing:
- Silva C et al., Obstet Gynecol 2006 Mar; 107:605-10.
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Ectopic Pregnancy Diagnosis Without Uterine Curettage Is Often Incorrect
- November 6, 2002
- Sandra Ann Carson, MD
- Women's Health
Successful medical management of ectopic pregnancy necessitates early diagnosis without laparoscopy; these nonsurgical diagnoses are made by sensitive β-human chorionic gonadotropin (hCG) assays and high-resolution . . .- Reviewing:
- Barnhart KT et al., Obstet Gynecol 2002 Sep; 100:505-10.
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Markers of Smooth Muscle Destruction Do Not Help Exclude Ectopic Pregnancy
- January 30, 2002
- Charles V. Pollack, Jr., MA, MD, FACEP
- Emergency Medicine
Previous studies have suggested that an elevated creatine phosphokinase (CPK) level, a marker of smooth muscle injury, may be helpful in the diagnosis of ectopic . . .- Reviewing:
- Birkhahn RH et al., Ann Emerg Med 2001 Dec; 38:628-32.
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Blood Tests for Ectopic Pregnancy: 2 New Studies
- September 8, 2000
- CV Pollack
- Emergency Medicine
Ectopic pregnancy is the leading cause of first-trimester maternal deaths, yet its diagnosis frequently is elusive in the ED. In 2 new studies, researchers evaluated . . .- Reviewing:
- Buckley RG et al., Ann Emerg Med 2000 Aug; 36:
95 100 . Birkhahn RH et al., Ann Emerg Med 2000 Aug; 36:101 107 .
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A Clinical Prediction Model for Ectopic Pregnancy
- February 1, 2000
- CV Pollack
- Emergency Medicine
The early diagnosis of ectopic pregnancy often is difficult to establish in the ED, particularly in centers where vaginal probe ultrasonography is not readily available. . . .- Reviewing:
- Buckley RG et al., Ann Emerg Med 1999 Nov; 34:
589 594 .
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A Single b-hCG Cannot Exclude Ectopic Pregnancy
- August 1, 1999
- RJ Vissers
- Emergency Medicine
The diagnosis of ectopic pregnancy (EP) relies on ultrasound and serial quantitative beta-human chorionic gonadotropin (b-hCG) measurements. In general, a single b-hCG is not useful, . . .- Reviewing:
- Marill KA et al., J Emerg Med 1999 May/Jun; 17:
419 426 .
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Ectopic Pregnancy: Historical Clues and Physical Findings
- May 1, 1999
- CV Pollack
- Emergency Medicine
Recognition of ectopic pregnancy in the ED can be problematic. Patients may have typical or atypical pain, may or may not have vaginal bleeding, and . . .- Reviewing:
- Dart RG et al., Ann Emerg Med 1999 Mar; 33:
283 290 .
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Ultrasound Screens for Ectopic Pregnancy at B-hCG Levels Below 1,000 mIU/ml
- November 1, 1998
- KL Koenig
- Emergency Medicine
Early detection of ectopic pregnancy saves lives, decreases infertility rates, and permits less invasive therapy such as medical management with methotrexate or conservative tubal surgery. . . .- Reviewing:
- Counselman FL et al., J Emerg Med 1998 Sep/Oct; 16:
699 703 .
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Smoking Increases Risk of Ectopic Pregnancy
- May 1, 1998
- PJA Hillard
- Women's Health
Cigarette smoking is associated with a variety of problems in pregnancy, including low birth weight, preterm premature rupture of membranes, placental abruption, and spontaneous abortion. . . .- Reviewing:
- Saraiya M et al., Am J Obstet Gynecol 1998 Mar; 178:
493 498 .
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Is Prior Induced Abortion a Risk Factor for Ectopic Pregnancy?
- May 1, 1998
- DE Judge
- Women's Health
Ectopic pregnancy is the leading cause of maternal death during the first trimester. This analysis of two French retrospective, case-control studies suggests that prior induced . . .- Reviewing:
- Tharaux-Deneux C et al., Am J Public Health 1998 Mar; 88:
401 405 .
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VAGINAL DOUCHING MAY INCREASE RISK FOR ECTOPIC PREGNANCY.
- June 17, 1997
- DM Harper
- General Medicine
Ectopic pregnancy has been associated with sexually transmitted disease, prior tubal surgery, and current IUD use. This case-control study evaluated whether douching could also increase . . .- Reviewing:
- Kendrick JS et al., Am J Obstet Gynecol 1997 May; 176:
991 997 .
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Douching: Risk for Ectopic Pregnancy
- June 1, 1997
- PJA Hillard
- Women's Health
An estimated one third of U.S. women -- and two thirds of black women -- douche regularly for perceived "cleansing" or to treat vaginal irritation . . .- Reviewing:
- Kendrick JS et al., Am J Obstet Gynecol 1997 May; 176:
991 997 .
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ABORTION DOES NOT INCREASE RATE OF ECTOPIC PREGNANCY.
- April 11, 1997
- DM Harper
- General Medicine
From 1970 to 1992, the rate of ectopic pregnancy in the U.S. increased fourfold, and the annual number of reported legal abortions more than doubled. . . .- Reviewing:
- Atrash HK et al., Obstet Gynecol 1997 Apr; 89:
512 518 .
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Ectopic Pregnancy after Sterilization
- April 1, 1997
- W Levinson
- Women's Health
It is well recognized that ectopic pregnancies can occur after tubal sterilization. This multicenter prospective trial finds different degrees of risk for various types of . . .- Reviewing:
- Peterson HB et al., N Engl J Med 1997 Mar 13; 336:
762 767 . Tulandi T., N Engl J Med 1997 Mar 13; 336:796 797 .
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RECURRENT CHLAMYDIAL INFECTION INCREASES RISK FOR ECTOPIC PREGNANCY.
- March 14, 1997
- DM Harper
- General Medicine
Women with an initial chlamydial infection are at increased risk for intraluminal adhesions leading to subsequent ectopic pregnancies, but little is known about whether this . . .- Reviewing:
- Hillis SD et al., Am J Obstet Gynecol 1997 Jan; 176:
103 107 .
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Methotrexate Can Treat Ectopic Pregnancy in Teens as Well as Adults
- August 1, 1996
- PJA Hillard
- Women's Health
Intramuscular methotrexate has been used in appropriately selected patients to treat ectopic pregnancies medically. However, some studies have shown that adolescents are, in general, less . . .- Reviewing:
- McCord ML et al., J Pediatr Adolesc Gynecol 1996 Apr; 9:
71 73 .
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METHOTREXATE FOR UNRUPTURED ECTOPIC PREGNANCY.
- May 14, 1991
- CDM
- General Medicine
Methotrexate with citrovorum factor rescue has shown promise in small case series as a treatment for unruptured ectopic pregnancy. This study in 100 women aged . . .- Reviewing:
- Stovall TG et al., Obstet Gynecol 1991 May; 77:
749 753 .
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