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Management of Cesarean Scar Pregnancy among Vietnamese Women
- Source :
- Gynecology and Minimally Invasive Therapy, Gynecology and Minimally Invasive Therapy, Vol 8, Iss 1, Pp 12-18 (2019)
- Publication Year :
- 2019
- Publisher :
- Medknow Publications & Media Pvt Ltd, 2019.
-
Abstract
- Objective: To demonstrate the efficacy of management for cesarean scar ectopic pregnancies up to 8 weeks' gestation using ultrasound-guided Foley balloon catheter placement combined with dilation and curettage (D and C) at TuDu Hospital. Subjects and Methods: A quasi-experimental study was conducted from March 2015 to March 2016. Patients with imaging-confirmed cesarean ectopic pregnancies were admitted to an inpatient unit at Tu Du Hospital. A Foley balloon catheter was placed inside the uterus under ultrasound guidance and was left in place for 24 h. Afterward, the patient underwent ultrasound-guided D and C. Follow-up to confirm success included serial blood draws to measure beta-human chorionic gonadotropin (β-hCG) levels until a value of 0, and routine ultrasounds to confirm absence of a gestational sac and no evidence of vascularity at the site of the cesarean section scar. Results: A total of 311 patients were enrolled over 3 months. Overall, 90.7% (95% confidence interval [CI]: 86.8%–93.9%) patients were successfully treated with this regimen. Several factors that were significantly associated with successful management included gestational age
- Subjects :
- medicine.medical_specialty
050402 sociology
medicine.medical_treatment
Gestational sac
lcsh:Gynecology and obstetrics
03 medical and health sciences
Dilation and curettage
0302 clinical medicine
0504 sociology
Medicine
lcsh:RG1-991
030219 obstetrics & reproductive medicine
business.industry
Obstetrics
Standard treatment
05 social sciences
Balloon catheter
Obstetrics and Gynecology
Gestational age
Cesarean scar pregnancy
dilation and curettage
Regimen
medicine.anatomical_structure
Foley ballon catheter
Vietnam
Gestation
Original Article
business
Blood drawing
Subjects
Details
- Language :
- English
- ISSN :
- 22133089 and 22133070
- Volume :
- 8
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Gynecology and Minimally Invasive Therapy
- Accession number :
- edsair.doi.dedup.....22fcbc58be9853a96f7bd7cc6dcc60c3