A review of medical treatment of ectopic pregnancy with systemic methotrexate
Journal Title: International Journal of Medical and Health Research - Year 2017, Vol 3, Issue 10
Abstract
Introduction: The aim of this review is to reassess the effectiveness of systemic methotrexate for the treatment of selected cases of ectopic pregnancy. Materials & Methods: A retrospective review of 21 cases of ectopic pregnancy from October 2015 to June 2017 who received systemic methotrexate at MGM Medical College, Jamshedpur, Jharkhand. Results: There were total of 21 cases included in the study who received systemic methotrexate. Of these 13 (62%) cases were successfully treated with single dose of injection methotrexate. Four patients (19%) required additional dose of injection methotrexate. Total 17 case out of 21 (81%) were successfully treated with systemic methotrexate. Four cases (19%) who received single dose of inj methotexate underwent surgery (having failed medical treatment) for tubal abortion/tubal rupture. Conclusion: With early diagnosis and adopting proper selection criteria medical treatment of ectopic pregnancy with systemic methotrexate is on effective and safe alternative to surgical treatment.
Authors and Affiliations
Dr. Shikha Rani, Dr. Rashmi
Keywords
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