Early pregnancy failure: beware of the pitfalls of modern management

被引：49

作者：

Barnhart, Kurt T. ^{[1
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机构：

[1] Univ Penn, Med Ctr, Dept Obstet & Gynecol, Perelman Sch Med,Sch Med, Philadelphia, PA 19104 USA

[2] Univ Penn, Sch Med, Dept Epidemiol, Perelman Sch Med, Philadelphia, PA 19104 USA

来源：

FERTILITY AND STERILITY | 2012年 / 98卷 / 05期

关键词：

Early pregnancy failure; methotrexate; ectopic pregnancy; miscarriage; HUMAN CHORIONIC-GONADOTROPIN; ECTOPIC PREGNANCY; DEFINITIVELY DIAGNOSE; DOSE METHOTREXATE; UNKNOWN LOCATION; ULTRASOUND; CURVES; WOMEN; RISK; HCG;

D O I：

10.1016/j.fertnstert.2012.09.018

中图分类号：

R71 [妇产科学];

学科分类号：

100211 [妇产科学];

摘要：

The evolution of the diagnosis and management of women with an early pregnancy loss has been a success story. The mortality from ectopic pregnancy has objectively been decreased in the past few decades. However, modern management has resulted in a new set of issues. Over-interpretation of a single ultrasound, misunderstanding of the utility of serial hCG values, and inappropriate use of methotrexate can result in iatrogenic complications. Modern management has successfully improved the diagnosis of ectopic pregnancy before rupture; it should now also focus on ensuring that an intrauterine pregnancy is not interrupted as a result of diagnosis and treatment. This article reviews some of the pitfalls of the modern management of early pregnancy failure and introduces a series of articles on the subject. (Fertil Steril (R) 2012;98:1061-5. (C)2012 by American Society for Reproductive Medicine.)

引用

页码：1061 / 1065

页数：5

共 36 条

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[2]

Cost-effectiveness of presumptively medically treating women at risk for ectopic pregnancy compared with first performing a dilatation and curettage [J].