There are two ways to treat an ectopic pregnancy by surgery or by a medicine called methotrexate. Diagnosis and management of ectopic pregnancy joshua h. Although it is a chemotherapy drug, in early pregnancy it is used in very small doses. Pharmacy services methotrexate in ectopic pregnancy. Persistent ectopic pregnancy following conservative surgeryif the diagnosis is made early, an ectopic pregnancy can be. What you need to know learning about an ectopic pregnancy can be difficult and stressful. Diagnostico y tratamiento conservador con cerclaje cervical fernando troncoso r. In such a situation the placenta sits on the intraabdominal organs or the peritoneum and has found sufficient blood supply. This handout talks about using methotrexate to treat an ectopic pregnancy. Use of methotrexate to treat pregnancy of unknown location and ectopic pregnancy 3 what is methotrexate. Some cases are diagnosed during surgery and most need to be confirmed by histopathological study. Tratamiento del embarazo ectopico con metotrexate info. Establishing a human chorionic gonadotropin cutoff to guide methotrexate treatment of ectopic pregnancy. Methotrexate is a drug normally used in cancer treatment but the amount used is very small.
Ectopic pregnancy 7 medical management of ectopic pregnancy medical treatment of ectopic pregnancy is also used commonly and may avoid the need for surgery. Pdf twenty one non complicated ectopic pregnancy are presented. Cullen and including upwards of six hundred authentic formulae 14597440078. If only a small portion of the tube is removed, the tube may be rejoined later using microsurgery.
The edinburgh practice of physic, surgery, and midwifery preceded by an abstract of the theory of medicine, and the nosology of dr. Tratamiento con metotrexato del embarazo ectopico no. Fig 2b may be performed when the ends of the tubes the fimbriae appear healthy and the ectopic pregnancy is small. The treatment of choice is conservative ovarian surgery to preserve fertility such as enucleation of the gestational sac or wedge resection of the ovary, preferably by laparoscopy. Multidose treatment of methotrexate in cornual ectopic. It is very effective in destroying ectopic pregnancy tissue and allowing it to be reabsorbed by the body. Indications for methotrexate methotrexate treatment has several applications in the tr eatment of ectopic pregnancy, which are discussed below. Although it is an uncommon practice, methotrexate can be given every other day until pregnancy hormone hcg blood tests confirm that the pregnancy has ended. Evaluacion del tratamiento medico del embarazo ectopico con. It works because it kills the rapidly growing cells of an ectopic. Predictors of success of methotrexate treat ment in women with.
Many differe nt agents have be en used to treat ectop ic pregnancie s including syst emic and local. Multidose protocol of methotrexate and folinic acid was prescribed at a dose of 50 mg on days 1, 3, 5 and 7, and 5 mg in the. On alternate days, a medicine called leucovorin folinic acid is given by injection to decrease methotrexate side effects. We have created this booklet to help you and your family during this challenging time. Methotrexate for treatment of ectopic pregnancy patient information after receiving the methotrexate injection, it will be necessary to have additional blood work. In some cases intramuscular methotrexate could be effective. A partial salpingectomy sometimes called a segmental resection, where a middle segment of the tube is removed. The patient was treated with methotrexate until complete resolution. It is from the family of cytotoxic chemotherapy drugs and is used for a number of conditions e.
We will monitor the levels of hcg, the pregnancy hormone, weekly until it is negative. What you can expect how can i treat an ectopic pregnancy. Tratamiento del embarazo ectopico embarazo ectopico. Use of methotrexate to treat pregnancy of unknown location. Tratamiento del embarazo ectopico tubarico, ovarico y abdominal. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. To evaluate the efficacy of medical treatment with methotrexate in ectopic pregnancy.
The multidose protocol of methotrexate and folinic acid is an effective treatment in patients with cornual ectopic pregnancy. Puede ser doloroso y muy peligroso, incluso mortal. Methotrexate is a drug that was initially used to treat unique cancers, some of which were derived from placental tissue. We report a case of cervical ectopic pregnancy treated with methotrexate and abdominal hysterectomy.
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