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Ectopic pregnancy

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https://www.readbyqxmd.com/read/29218126/a-pilot-study-comparing-hysteroscopic-adhesiolysis-by-conventional-resectoscope-versus-mini-resectoscope
#1
Kallol Kumar Roy, Archana Lingampally, Yamini Kansal, Juhi Bharti, Sunesh Kumar, Perumal Vanamail, Seema Singhal, Jyoti Meena
Objectives: To compare the feasibility and efficacy of the mini-resectoscope with the conventional resectoscope in terms of the operative, menstrual, and reproductive outcome in hysteroscopic adhesiolysis in infertile women. Methods: We conducted a parallel prospective randomized study at All India Institute of Medical Sciences, New Delhi. A total of 60 patients underwent hysteroscopic adhesiolysis using either conventional resectoscope (n = 30) or mini-resectoscope (n = 30)...
November 2017: Oman Medical Journal
https://www.readbyqxmd.com/read/29214643/trends-in-serum-human-chorionic-gonadotropin-levels-0-4-days-after-methotrexate-administration-for-predicting-tubal-ectopic-pregnancy-treatment-success
#2
Lo Wong, Linda W Y Fung, Chun-Wai Cheung, Terence T Lao
OBJECTIVE: To evaluate serum human chorionic gonadotropin (HCG) levels 0-4 days after single-dose methotrexate administration for tubal ectopic pregnancy. METHODS: The present retrospective study included women with tubal ectopic pregnancy treated by methotrexate at a tertiary hospital in Hong Kong, China, between January 1, 2007, and December 31, 2016. Patients were stratified serum HCG levels rose or fell from day 0-4 post-administration. Trends in day 0-4 serum HCG to predict treatment success were compared with that of day 4-7 serum HCG...
December 7, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29211333/subsequent-reproductive-outcome-among-women-with-peripartum-cardiomyopathy-a-nationwide-study
#3
Maria Guldbrandt Hauge, Marianne Johansen, Niels Vejlstrup, Finn Gustafsson, Peter Damm, Anne S Ersbøll
OBJECTIVE: To describe the subsequent reproductive outcome for a Danish nationwide cohort of women with peripartum cardiomyopathy (PPCM). DESIGN: Nationwide historic cohort study. SETTING: Secondary and tertiary centres across Denmark. SAMPLE: Women with PPCM. METHODS: Sixty-one women with PPCM during 2005-2014 were identified in a nationwide, registry-based study and the diagnosis was validated through audit of patient records...
December 6, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29208873/correlation-between-seropositivity-of-chlamydia-trachomatis-and-tubal-and-or-pelvic-pathology-detected-by-diagnostic-laparoscopy-in-subfertile-women
#4
N Begum, S A Anwary, M Alfazzaman, Z Mahzabin, F Deeba, M A Mostafa, M Akhter, M M Rahman
This prospective observational study was carried out in the Infertility Unit, Department of Obstetrics and Gynaecology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, from February 2011 to December 2013. Sixty-nine (69) subfertile women who were seropositive for Chlamydia Trachomatis were included in this study. Inclusion criteria was patients with sub-fertility having age between 22 and 40 years, seeking infertility treatment, normal ovarian function, all normozoospermic male partner, duration of infertility ranged from 1...
October 2017: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/29202976/perinatal-outcomes-after-natural-conception-versus-in%C3%A2-vitro-fertilization-ivf-in-gestational-surrogates-a-model-to-evaluate-ivf-treatment-versus-maternal-effects
#5
Irene Woo, Rita Hindoyan, Melanie Landay, Jacqueline Ho, Sue Ann Ingles, Lynda K McGinnis, Richard J Paulson, Karine Chung
OBJECTIVE: To study the perinatal outcomes between singleton live births achieved with the use of commissioned versus spontaneously conceived embryos carried by the same gestational surrogate. DESIGN: Retrospective cohort study. SETTING: Academic in vitro fertilization center. PATIENT(S): Gestational surrogate. INTERVENTION(S): None. MAIN OUTCOME MEASURE(S): Pregnancy outcome, gestational age at birth, birth weight, perinatal complications...
December 2017: Fertility and Sterility
https://www.readbyqxmd.com/read/29202814/occurrence-of-spontaneous-bilateral-tubal-pregnancy-in-a-low-income-setting-in-rural-cameroon-a-case-report
#6
Conrad S Tankou, Carlson-Babila Sama, Jinette Lorraine Guedem Nekame
BACKGROUND: Ectopic pregnancy is a life-threatening emergency warranting immediate recognition and prompt intervention. Bilateral tubal pregnancy is the rarest form of ectopic pregnancy with very limited data on its occurrence reported in sub-Saharan Africa. CASE PRESENTATION: We report the case of a 40-year-old multigravida with chief complains of lower abdominal pain evolving for 5 days in whom an intraoperative diagnosis of spontaneous bilateral tubal pregnancy (plus ruptured right tube) was made...
December 4, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/29201669/comparison-of-outcomes-of-ivf-cycles-between-transferred-frozen-thawed-embryos-and-fresh-embryos-by-a-2-year-survey
#7
Ensieh Shahrokh-Tehraninejad, Zeynab Vosoog, Fatemeh Farajzadeh-Vajari
Background: Infertility as one of most concerning topics in childbearing age mothers needs better managements with less complications and IVF can be assumed as an efficient method. This study aimed to compare pregnancy outcomes in fresh and frozen embryos transferred in IVF cycles. Methods: In a retrospective study, 11201 patients underwent IVF cycles from 21st March 2013 to 20th March 2014 and they were categorized into two groups according to age, previous tubal disease and surgery, tubal ligation, and previous ectopic pregnancy variables...
October 2017: Journal of Reproduction & Infertility
https://www.readbyqxmd.com/read/29201485/retroperitoneal-ectopic-pregnancy-diagnosis-and-therapeutic-challenges
#8
Salma Ouassour, Abdelhai Adib Filali, Mohamed Raiss, Rachid Bezad, Zakia Tazi, Mohamed Hassan Alami, Jihane Bennani, Rachida Dafiri
Background: Retroperitoneal ectopic pregnancy is extremely rare. This unusual location represents a great challenge for clinicians due to the difficulties of diagnosis and high risk of life-threatening complications. Case Report: We report the case of a spontaneous early pregnancy of undetermined location in a patient with a history of previous laparoscopic surgery. Diagnosis steps using clinical examination, ultrasound, and magnetic resonance imaging led to the localization of the pregnancy, in the left side of the para-aortic region, in the retroperitoneal space...
2017: Case Reports in Surgery
https://www.readbyqxmd.com/read/29197653/ectopic-pregnancy-6-years-after-subtotal-hysterectomy-a-case-report
#9
Octavia Sobczyk, Yaël Levy-Zauberman, Marie Houllier, Hervé Fernandez
BACKGROUND: Only 57 cases of ectopic pregnancy after hysterectomy have been published. CASE REPORT: A 34-year-old patient with a history of subtotal hysterectomy for postpartum hemorrhage consulted for acute abdominal pain. The diagnosis of ectopic pregnancy was made using blood pregnancy test and transvaginal ultrasound. Emergency laparoscopy was performed. CONCLUSION: Urine pregnancy test should be performed in case of unexplained haemoperitoneum in patient of childbearing age with a history of hysterectomy...
November 29, 2017: Journal of Gynecology Obstetrics and Human Reproduction
https://www.readbyqxmd.com/read/29195636/attitudes-of-physicians-providing-family-planning-services-in-egypt-about-recommending-intrauterine-device-for-family-planning-clients
#10
Mirette Aziz, Sabra Ahmed, Boshra Ahmed
OBJECTIVES: To assess the attitudes of physicians providing family planning services at the public sector in Egypt about recommending intrauterine device (IUD) for family planning clients, and to identify the factors that could affect their attitudes. METHODS: A descriptive cross sectional study, in which all the physicians providing family planning services in Assiut Governorate were invited to complete self-administered questionnaires. The study participants were recruited at the family planning sector monthly meetings of the 13 health directorates of Assiut Governorate, Upper Egypt...
December 2017: Sexual & Reproductive Healthcare: Official Journal of the Swedish Association of Midwives
https://www.readbyqxmd.com/read/29186714/enhanced-immunological-tolerance-by-hla-g1-from-neural-progenitor-cells-npcs-derived-from-human-embryonic-stem-cells-hescs
#11
Hong-Xi Zhao, Feng Jiang, Ya-Jing Zhu, Li Wang, Ke Li, Yang Li, Xiao-Hong Wang, Ling-Song Li, Yuan-Qing Yao
BACKGROUND: Despite the great potential of utilizing human embryonic stem cells (hESCs)-derived cells as cell source for transplantation, these cells were often rejected during engraftment by the immune system due to adaptive immune response. METHODS: We first evaluated HLA-G expression level in both hESCs and differentiated progenitor cells. After that, we generated modified hESC lines that over-express HLA-G1 using lentiviral infection with the construct contains both HLA-G1 and GFP tag...
November 30, 2017: Cellular Physiology and Biochemistry
https://www.readbyqxmd.com/read/29184874/persistent-low-level-elevation-of-serum-human-chorionic-gonadotropin-after-termination-of-pregnancy-a-rare-case-of-peritoneal-trophoblastic-implant
#12
Hye Won Seo, Min Jin Jeong, Jung Namkung, Chan Joo Kim, Ji Young Kwon
Peritoneal trophoblastic implant can occur after treatment of ectopic pregnancy. Similarly, after termination of intrauterine pregnancy, trophoblastic implants are rare but can be a complication of perforation during dilatation and curettage. We report an extremely rare case of trophoblastic implant on the myometrium, ovarian surface, and peritoneal wall 4 months after uncomplicated dilatation and curettage. To the best of our knowledge, this is the first case of peritoneal trophoblastic implant following dilatation and curettage without uterine perforation...
November 2017: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/29184865/etiological-evaluation-of-repeated-biochemical-pregnancy-in-infertile-couples-who-have-undergone-in-vitro-fertilization
#13
Hyun-Mi Lee, Hwa Jeong Lee, Kwang Moon Yang, Sun Hwa Cha, Hyun Kyong Ahn, Young Joo Kim
Objective: This study aims to investigate whether there are any notable etiologies for repeated biochemical pregnancy (RBP) and, if so, to compare those etiologies associated with repeated spontaneous abortion in infertile couples who have undergone in vitro fertilization (IVF). Methods: Forty-four infertile couples who underwent IVF and experienced RBP were included in this study. RBP was defined as more than 2 early pregnancy losses that occurred before the detection of a gestational sac, with ectopic pregnancies specifically excluded by serial serum beta human chorionic gonadotropin evaluation...
November 2017: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/29181210/bilateral-tubal-pregnancy-without-known-risk-factor
#14
Hyacinthe Zamané, Barnabé Yameogo, Paul Dantola Kain, François Gueswendé Xavier Kaboré, Yobi Alexis Sawadogo, Sibraogo Kiemtoré, Sidbewenné Yacinthe Kaboré, Blandine Bonané Thiéba
Spontaneous bilateral ectopic gestation is very rare. The authors report a case diagnosed and taken care of at Yalgado Ouedraogo Teaching Hospital, Ouagadougou. It was a 30-year-old patient with no known pathological history. She had presented at the obstetric emergencies with a state of hypovolemic shock by haemoperitoneum with digestive disorders, pelvic pain, vaginal bleeding, and a mention of delayed menstruation. The ultrasound coupled with the urinary immunological pregnancy test confirmed the diagnosis of ruptured ectopic pregnancy and a bilateral form was suspected...
2017: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29175068/endometrial-scratch-injury-before-intrauterine-insemination-is-it-time-to-re-evaluate-its-value-evidence-from-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#15
Amerigo Vitagliano, Marco Noventa, Gabriele Saccone, Salvatore Gizzo, Salvatore Giovannni Vitale, Antonio Simone Laganà, Pietro Salvatore Litta, Carlo Saccardi, Giovanni Battista Nardelli, Attilio Di Spiezio Sardo
OBJECTIVE: To assess the impact of endometrial scratch injury (ESI) on the outcomes of intrauterine insemination (IUI) stimulated cycles. DESIGN: Systematic review and meta-analysis. SETTING: Not applicable. PATIENT(S): Infertile women undergoing one or more IUI stimulated cycles. INTERVENTION(S): Randomized controlled trials (RCTs) were identified by searching electronic databases. We included RCTs comparing ESI (i...
November 23, 2017: Fertility and Sterility
https://www.readbyqxmd.com/read/29172412/contraception-update-intrauterine-devices
#16
Karen Antell, Prium Deshmukh, Elizabeth J Brown
Copper-containing and hormonal intrauterine devices (IUD) are long-acting, highly effective contraceptive methods. They can be used safely by nulliparous patients, adolescents, patients with history of ectopic pregnancy, and patients with risk factors for sexually transmitted infections or a history of pelvic inflammatory disease (PID). These devices can be placed safely immediately postpartum and postabortion and should be inserted when physicians can be reasonably certain that the woman is not pregnant. If a woman with an IUD is shown to be pregnant, the device should be removed if strings are visible...
November 2017: FP Essentials
https://www.readbyqxmd.com/read/29170443/should-we-screen-for-the-sexually-transmitted-infection-mycoplasma-genitalium-evidence-synthesis-using-a-transmission-dynamic-model
#17
Ruthie Birger, John Saunders, Claudia Estcourt, Andrew John Sutton, Catherine H Mercer, Tracy Roberts, Peter J White
There is increasing concern about Mycoplasma genitalium as a cause of urethritis, cervicitis, pelvic inflammatory disease (PID), infertility and ectopic pregnancy. Commercial nucleic acid amplification tests (NAATs) are becoming available, and their use in screening for M. genitalium has been advocated, but M. genitalium's natural history is poorly-understood, making screening's effectiveness unclear. We used a transmission-dynamic compartmental model to synthesise evidence from surveillance data and epidemiological and behavioural studies to better understand M...
November 23, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29170088/simplified-medical-abortion-screening-a-demonstration-project
#18
Elizabeth G Raymond, Yi-Ling Tan, Rodica Comendant, Irina Sagaidac, Stelian Hodorogea, Melissa Grant, Patricio Sanhueza, Emigdio Van Pratt, Ginger Gillespie, Christy Boraas, Mark A Weaver, Ingrida Platais, Manuel Bousieguez, Beverly Winikoff
OBJECTIVES: To evaluate the safety and acceptability of outpatient medical abortion in selected women without a pretreatment ultrasound or pelvic examination. STUDY DESIGN: We conducted a prospective case-series study to estimate the incidence of serious adverse events (death, life-threatening event, hospitalization, transfusion, or any other medical problem that we judged to be significant), surgical completion of the abortion, and satisfaction in women provided with medical abortion without a pretreatment ultrasound or pelvic examination...
November 20, 2017: Contraception
https://www.readbyqxmd.com/read/29164264/risks-and-benefits-of-salpingectomy-at-the-time-of-sterilization
#19
Tara Castellano, Matthew Zerden, Laura Marsh, Kim Boggess
Importance: Bilateral salpingectomy reduces the risk ovarian cancer. The Society of Gynecologic Oncology has recommended surgeons discuss salpingectomy with patients desiring sterilization. Objective: This review summarizes current literature on the benefits and risks of bilateral salpingectomy to reduce ovarian cancer risk. Areas of insufficient evidence and directions for further research are discussed. Evidence Acquisition: We examined the benefits and risks of bilateral salpingectomy for female surgical sterilization, using a PubMed and EMBASE literature review...
November 2017: Obstetrical & Gynecological Survey
https://www.readbyqxmd.com/read/29157476/subhepatic-ectopic-pregnancy-image-guided-percutaneous-intervention
#20
Kristofer Langheinrich, Jason C Smith, Jason H Lee
No abstract text is available yet for this article.
December 2017: Journal of Vascular and Interventional Radiology: JVIR
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