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:2/19/2017)... ... February 19, 2017 , ... Braun Industries will be participating ... Exposition, the event will take place February 23-25, 2017 at the Calvin L. Rampton ... Booth #909 with three new ambulances on display. , “JEMS is ...
(Date:2/18/2017)... (PRWEB) , ... February 17, 2017 , ... ... leading source of disruptive innovation in the industry, according to the recent NEJM ... are based on surveys of the NEJM Catalyst Insights Council, a qualified group ...
(Date:2/18/2017)... ... February 18, 2017 , ... A new ... and contact points to easily connect elderly veterans of America's armed forces to ... funding. It also conveys material on this year's increase in the Veterans Pension ...
(Date:2/17/2017)... ... February 17, 2017 , ... For the ... management solution to the exhibit floor for the 2017 HIMSS Conference & ... From Feb. 19–23, 2017, more than 40,000 healthcare industry professionals are expected at ...
(Date:2/17/2017)... ... February 17, 2017 , ... ... Conference & Exhibition in Orlando, Fla., February 19-23. Visitors to the company’s booth ... most widely used electronic patient signatures solution in healthcare . , Since ...
Breaking Medicine News(10 mins):
(Date:2/17/2017)... 2017 According to a new market research ... Counters), Application (Cleanroom Monitoring, Contamination Monitoring of Liquids), and End User ... MarketsandMarkets, the market is expected to reach USD 330.6 Million by ... 3.7% from 2016 to 2021. Continue ... ...
(Date:2/17/2017)... 2017 Theravance Biopharma, Inc. (NASDAQ: ... today announced the presentation of positive clinical data ... pan-Janus kinase (JAK) inhibitor designed to be intestinally ... the European Crohn,s and Colitis Organization (ECCO). In ... from its completed Phase 1 study of single-ascending ...
(Date:2/17/2017)... 2017 Research and Markets has announced the addition ... report to their offering. ... report provides separate comprehensive analytics for the US, Canada ... Asia-Pacific , and Rest of World. Annual estimates and forecasts ... analysis is provided for these markets. Market data and analytics are derived ...
Breaking Medicine Technology: