No Complicated Ectopic Pregnancy: Medical Management With Methotrexate In The Maternal Perinatal National Institute

Objective. To determine the characteristics of medical management with methotrexate in unruptured ectopic pregnancy in Instituto Nacional Materno Perinatal in Lima. Material and methods. A descriptive study, retrospective, realized between January 2009 and December 2010. These were 30 patients diagn...

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Detalles Bibliográficos
Autores: admin, admin, Zambrano-Gamboa, Christian Arturo, Ticona-Huamaní, Mirasol Pavel, Murga-López, Agustín, Carpio-Guzmán, Luis Alberto
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2018
País:Perú
Institución:Instituto Nacional Materno Perinatal
Repositorio:Revista Peruana de Investigación Materno Perinatal
Idioma:español
OAI Identifier:oai:investigacionmaternoperinatal.inmp.gob.pe:article/6
Acceso en línea:https://investigacionmaternoperinatal.inmp.gob.pe/index.php/rpinmp/article/view/6
Access Level:acceso abierto
Palabra clave:Embarazo ectópico
Metotrexate
Ectopic pregnancy
Methotrexate
Descripción
Sumario:Objective. To determine the characteristics of medical management with methotrexate in unruptured ectopic pregnancy in Instituto Nacional Materno Perinatal in Lima. Material and methods. A descriptive study, retrospective, realized between January 2009 and December 2010. These were 30 patients diagnosed with unruptured ectopic pregnancy who received methotrexate in the study period. The instrument used was a data collection form developed for study purposes. Results. The most frequent was tubal right at the 56,7% of cases, the most widely used protocol was single-dose in 86,6 % of cases, the most common size was 20 to 35 mm in 60 % of cases, 70 % of cases became negative B-hCG (fraction B of human chorionic gonadotropin), 30% required surgery, the most frequent adverse reaction to methotrexate was nausea (10% of cases).Conclusions. Medical management with methotrexate is an alternative for patients with unruptured ectopic pregnancy, became negative B-hCG (70%). There was no statistically significant differences in the values of the B-hCG at the time of surgical decision.The most widely used protocol was single-dose and route of administration was intramuscularly in all patients.