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 20, 2017 , ... The Dermatology Clinic announced today the addition ... BS in Biology from LSU, graduating summa cum laude. He attended Emory University School ... residency in St. Louis, Dr. Dunbar moved to New York to complete an AGCME-accredited ...
(Date:7/20/2017)... ... ... There’s a lot of confusing lingo out there surrounding spinal disc problems, ... it’s crucial to understand both the differences and similarities between these two highly common ... founder and president of Atlantic Spine Center . , The bottom line ...
(Date:7/20/2017)... (PRWEB) , ... July 20, 2017 , ... ... travel protection services since 2014, top travel insurance solution company VisitorsCoverage Inc. has ... to sell all major international travel insurance products online, under their own brand. ...
(Date:7/20/2017)... Charlotte, NC (PRWEB) , ... July 20, 2017 , ... ... announces the latest innovation to their product line: the AVE 2 birthing bed. , ... 2 helps bring a new level of comfort and efficiency to every phase of ...
(Date:7/20/2017)... ... ... Dr. Jig Patel is pleased to announce openings for new patients who ... the difficulties that face people who are missing teeth , he offers education ... dentures and bridges. Not only does an implant improve oral health, it also restores ...
Breaking Medicine News(10 mins):
(Date:7/11/2017)... Ill. , July 11, 2017  Sysmex ... and urinalysis diagnostic testing equipment as well as ... innovation: a way to make quality assurance easier ... processes. "Sysmex is well known for the innovation ... Quality Monitor elevates quality assurance processes to ...
(Date:7/10/2017)... The Institute for In Vitro Sciences (IIVS), ... of a VITROCELL® inhalation exposure system thanks to a ... device, which is designed to replace animals in inhalation ... to airborne test materials in an environment that mimics ... for testing combustible tobacco products, as well as next ...
(Date:7/6/2017)... nutrition division of Diplomat Specialty Infusion Group, is celebrating a decade of ... To celebrate its anniversary, ThriveRx recently launched a redesigned website at ... organization to create the best user experience for consumers and health care ... Diplomat Pharmacy ... "We,ve made several great strides throughout the past 10 ...
Breaking Medicine Technology: