Navigation Links
Ultrasound Best Detector of Dangerous Ectopic Pregnancies, Study Finds
Date:4/23/2013

TUESDAY, April 23 (HealthDay News) -- Ectopic pregnancy, in which the fertilized egg grows in the fallopian tubes or other spots outside the uterus, typically leads to miscarriage and can even prove fatal.

Now, a review of the data finds that taking a patient's history along with a clinical exam is not enough to diagnose the condition in women with abdominal pain or vaginal bleeding during early pregnancy.

Instead, the researchers concluded that transvaginal ultrasound is the single best way to evaluate suspected ectopic pregnancy. These scans examine a woman's reproductive organs, including the uterus, ovaries, cervix and vagina.

One expert not connected to the study said detecting ectopic pregnancy early on is crucial.

"Risks from this complication include hemorrhage from rupture, death, and loss of the [fallopian] tube, either from rupture or surgical removal," said Dr. Kecia Gaither, vice chair of obstetrics & gynecology and director of maternal-fetal medicine at Brookdale University Hospital and Medical Center, in New York City. "Patients typically present with abdominal pain, spotting and a positive pregnancy test."

Nevertheless, "fewer than half of the women with an ectopic pregnancy have the classically described symptoms of abdominal pain and vaginal bleeding. In fact, these symptoms are more likely to indicate miscarriage," wrote the team of researchers led by Dr. John Crochet of the Center of Reproductive Medicine in Webster, Texas. That means that confirming a diagnosis of ectopic pregnancy is especially important.

For this review, published in the April 24 issue of the Journal of the American Medical Association, the researchers analyzed 14 studies that included a total of more than 12,000 patients.

The study confirms that "the gold standard for diagnosis is an ultrasound," Gaither said. "Depending on the clinical stability of the patient, a laparoscopic surgical procedure or a laparotomy may [also] be required," she added.

"For any patient who is pregnant in the first trimester -- and has not had a sonogram -- who experiences sudden onset of abdominal pain and spotting, it is important to go to the nearest hospital to be evaluated for an ectopic pregnancy," Gaither said. "The trip may be lifesaving."

One other expert agreed.

"Ectopic pregnancy poses such a risk to patients of childbearing age that it should always be considered when a patient is pregnant and has abdominal pain," said Dr. Jennifer Wu, an obstetrician/gynecologist at Lenox Hill Hospital, in New York City. "Good surveillance with early ultrasound and close follow-up ... can significantly lessen risks, which include emergency surgery and transfusion."

According to background information in the review, ectopic pregnancy is the leading cause of pregnancy-related death in the first trimester and causes up to 6 percent of pregnant women's deaths in the early stages of pregnancy.

More information

The American Academy of Family Physicians has more about ectopic pregnancy.

-- Robert Preidt

SOURCES: Jennifer Wu, M.D, obstetrician/gynecologist, Lenox Hill Hospital, New York City; Kecia Gaither, M.D, vice chair of obstetrics & gynecology, and director, maternal-fetal Medicine, Brookdale University Hospital and Medical Center, New York City; Journal of the American Medical Association, news release, April 23, 2013


'/>"/>
Copyright©2012 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. 2 venous punctures not always needed for intravascular ultrasound-guided
2. Laser optics plus ultrasound imaging holds promise as a noninvasive test for prostate cancer
3. Screening breast ultrasound detects cancers missed on mammography in women with dense breasts
4. Ultrasound Waves, Bone Marrow Cells Show Promise in Heart Failure Patients
5. Ultrasound Allows Early Detection of Fluid in Dialysis Patients Lungs
6. AIUM 2013 Annual Convention provides an in-depth look into ultrasound first
7. More doctors use ultrasound to diagnose, manage rheumatic diseases
8. Progress in ultrasound-guided surgery may improve breast cancer treatment
9. FDA OKs First Ultrasound Imaging System for Dense Breasts
10. AMA adopts diagnostic ultrasound utilization and education resolution
11. AIUM and AUA guideline development leads to practice accreditation for urologic ultrasound
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Ultrasound Best Detector of Dangerous Ectopic Pregnancies, Study Finds
(Date:7/20/2017)... ... July 19, 2017 , ... A July 5th ... weight loss surgery patients who had received a body contouring procedure reported experiencing a ... clinic Beverly Hills Physicians (BHP), which provides both types of procedures, notes that this ...
(Date:7/20/2017)... ... July 20, 2017 , ... “Fidget”: a fun-filled, action-packed ... retired public high school music and drama teacher who was a summa cum laude ... including a “Teacher of the Year” award. After her retirement from public school, Lynn ...
(Date:7/18/2017)... Oaks, CA (PRWEB) , ... July 18, 2017 , ... ... Ph.D. scientist extracted cannabis oils, announced today that at the WORLDZ Summit, taking place ... will be speaking on the therapeutic benefits of medical cannabis for both pediatric and ...
(Date:7/18/2017)... ... July 18, 2017 , ... ClinicalTrials.gov ... Decisions Do You Need to Consider?, **An FDAnews Webinar**, Aug. 2, 2017 — ... Part 11, “Final Rule for Clinical Trials Registration and Results Information,” is a ...
(Date:7/18/2017)... (PRWEB) , ... July 18, 2017 , ... ... on a lien basis, partners with the best medical professionals who offer the ... and pre-approves each medical professional in their network, ensuring that each patient receives ...
Breaking Medicine News(10 mins):
(Date:7/11/2017)... Zymo Research Corp., also known as ,The Epigenetics Company, announced ... in a precise manner using the myDNAge ™ test. Based on ... of human genetics and biostatistics at the David Geffen School of ... Zymo Research,s proprietary DNAge ™ technology is used to analyze DNA ... ...
(Date:7/11/2017)...  The global market for liquid biopsy diagnostic and ... in 2016.  Although in early stages, the global market ... as a result of the gradual shift towards personalized ... of a significant number of new liquid biopsy tests ... biomarkers to guide treatment decisions. ...
(Date:7/11/2017)... 11, 2017  Dr. Echenberg, founder of Echenberg Institute, is announcing a ... who suffer from painful intercourse and other painful pelvic pain conditions such ... to menopause. ... LLC ... Sarasota, Florida -based start-up company, VuVatech LLC, fills a void ...
Breaking Medicine Technology: