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- IRMS - Nicolae Testemitanu SUMPh
- 1. COLECȚIA INSTITUȚIONALĂ
- MedEspera: International Medical Congress for Students and Young Doctors
- MedEspera 2022
Please use this identifier to cite or link to this item:
http://hdl.handle.net/20.500.12710/20968
Title: | Management of the ectopic pregnancy |
Authors: | Cuculescu, Elena |
Issue Date: | 2022 |
Publisher: | Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova, Association of Medical Students and Resident |
Citation: | CUCULESCU, Elena. Management of the ectopic pregnancy. In: MedEspera: the 9th International Medical Congress for Students and Young Doctors: abstract book. Chișinău: S. n., 2022, p. 240. |
Abstract: | Introduction. Ectopic pregnancy continues to be an important cause of maternal morbidity and mortality of the
first trimester of pregnancy world-wide. The primary objective in the management of EP is that the treatment
used is safe i.e. that it avoids maternal death and minimises morbidity, either from the complications of EP or
from the complications of treatment. Whilst EP remains an important cause of maternal death, it is an uncommon
complication, and most women who are faced with EP will be more concerned with the associated morbidity.
Various congenital and acquired risk factors had be related to this condition Classical triad still to be an
important tool for clinical diagnosis in patients in reproductive age but it should be completed with serum ßhCG levels and ultrasonography, ultrasonography consider being the best tool for investigation because it's safe,
fast, low cost, available and has a high sensitivity to detect the ectopic, now days the improvement in diagnosis
techniques leads to increase of cases are detected, however the development of new theories and approaches of
treatment are decrease significant the mortality rate. Ectopic pregnancy is associated with reduced subsequent
fertility, recurrence of EP in the future and persistence of EP after treatment. The morbidity associated with the
method of treatment must also be considered.
Aim of study. The diagnosis, assessment and management of women with ectopic pregnancy.
Methods and materials. This publication brings more review data and the results of a clinical study that was
based on the analysis of clinical and anamnestic data of 173 women with ectopic pregnancy who were enrolled
in the Municipal Hospital "Gheorghe Paladi" in 2021.
Results. The incidence of ectopic pregnancy was observed to make up 2.71% in the period of 2021. A total of
173 ectopic pregnancies were followed in our clinic during the last 1 year. The highest rate of ectopic pregnancy
was at 30-35 years and constituted 93 of the women out of 173. We found 38 cases of recurrence EP in our
study which represent 21.97% in ratio. It's important that women who had a previous EP to be instructed to have
an early scan when they next become pregnant, even when they are asymptomatic. We analysed different risk
factor for EP and found that 38 patients have previous EP representing 21.97%, also 32 patients have
spontaneous apportion they representing 18.49%, in addition 29 patients have medication induced apportion
they represent 16.76%, also 15 patient had cesarean operation in the past and they represent 8.67%, where 10
patients have undergo appendectomy which represent 5.78%, in addition to other risk factors mentioned in the
graph. Notably some patients.
Conclusion. As EP has a significant associated mortality and morbidity, it is good that more EPs are detected
as early as possible. Better diagnostic tools lead to an increase in the number of EPs detected. Changes in sexual
behavior patterns - such as more sexual partners - mean that you are more likely to be exposed to sexually
transmitted infections and to be able to develop pelvic lesions as a result of this exposure before conception.
Changes in reproductive practices, both the introduction of assisted conception techniques and the use of
contraceptives that reduce the incidence of intrauterine but not extrauterine pregnancies have an impact on the
number of pregnancies that are implanted outside the endometrial cavity. However, if increased detection leads
to an increase in therapeutic procedures in women who did not know beforehand that they have an PE which,
in turn, is associated with morbidity and mortality, this is not desirable. Reducing mortality and morbidity
associated with PE. Raising awareness of the pelvic. |
metadata.dc.relation.ispartof: | MedEspera: The 9th International Medical Congress for Students and Young Doctors, May 12-14, 2022, Chisinau, Republic of Moldova |
URI: | http://repository.usmf.md/handle/20.500.12710/20968 https://medespera.asr.md/en/books |
Appears in Collections: | MedEspera 2022
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