Examinando por Autor "Matute Tituana, Deybin Dubal"
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Ítem Acceso Abierto Actualización del diagnóstico y manejo del embarazo ectópico(Universidad Católica de Cuenca., 2023) Matute Tituana, Deybin Dubal; Espinoza Diaz, Cristóbal Ignacio; 1400878573Introduction: Ectopic pregnancy, also known as extrauterine, means a significant risk to maternal health and can lead to life-threatening complications if not diagnosed and managed promptly. A worldwide prevalence of ectopic pregnancy has been reported to be 2%. Objective: This paper aims to describe potential mechanisms underlying ectopic pregnancy, along with its diagnosis and treatment. Methodology: A literature review was performed on PubMed, Medline, and SciELO databases. It included cross-sectional, observational, and randomized controlled trials published in English and Spanish from January 2018 to July 2023. Results: The review comprises seven randomized controlled clinical trials (70%) and three retrospective observational studies (30%). In 100% of the articles, the diagnosis of ectopic pregnancy is detailed by transvaginal ultrasound and β-hCG levels > 1500. Surgical treatment (salpingectomy, salpingostomy, ultrasound-guided curettage, laparoscopic salpingectomy) is specified in 40% of the articles, 50% corresponds to pharmacological management with methotrexate 50mg intramuscular at one or two doses, expectant management is mentioned in 10% of the articles. Conclusions: A prompt diagnosis by ultrasound, blood biochemistry, and an adequate clinical record and early intervention with methotrexate at two doses (0 and 4 days) reduces the risk of morbidity and improves the chances of future pregnancy without complications.
