ﺑﺎﺯﮔﺸﺖ ﺑﻪ ﺻﻔﺤﻪ ﻗﺒﻠﯽ
خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده: 1

Hemodynamically stable patient with an undesired pregnancy of unknown location (PUL): Expectant management

Hemodynamically stable patient with an undesired pregnancy of unknown location (PUL): Expectant management
PUL is a term used to describe the clinical scenario in which a patient with a positive pregnancy test has a TVUS that shows neither an IUP nor an ectopic pregnancy. This algorithm describes the management of hemodynamically stable patients with an undesired pregnancy who have chosen expectant management. Management of hemodynamically unstable patients, hemodynamically stable patients with an undesired pregnancy who have chosen proactive management, or those with uncommon or rare etiologies including, but not limited to, malignancy (eg, invasive mole, choriocarcinoma), pituitary hCG production, and heterophilic antibodies are described in related UpToDate content.

hCG: human chorionic gonadotropin; IUP: intrauterine pregnancy; MTX: methotrexate; PUL: pregnancy of unknown location; TVUS: transvaginal ultrasound.

* How to choose between the various treatment options is discussed in related UpToDate content.

¶ While there is no standard expected rate of decline, a fall in serum hCG of 21 to 35% (depending on initial hCG level) over 48 hours suggests a resolving pregnancy.

Δ Frequency of serial hCG levels may decrease depending on the rate of decline.

Reference:
  1. Barnhart KT, Guo W, Cary MS, et al. Differences in serum human chorionic gonadotropin rise in early pregnancy by race and value at presentation. Obstet Gynecol 2016; 128:504.
Graphic 148706 Version 1.0

آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟