Expectant Management in Tubal Ectopic Pregnancy in ThiQar Province: Interventional Comparative Trial

Abstract

Background: Ectopic pregnancy one of the life threatening condition, that can’t be prevented but canmanaged safely. Rationale: rolling out of surgical intervention to medical management is hope of all, eventhough surgeon. Aim of the study: to compare between the expectant and surgical management of tubalectopic pregnancy. Patients and Methods: Single blinded, controlled and interventional study conductedin Bint Al-Huda teaching hospital in Thi-Qar-Iraq, extended all over the 2019 since January till last weekof December . Totally (74) patients enrolled in the study, all of them were complained from tubal ectopicpregnancy, questionnaire, B-HCG, Trans- vaginal US were the main tools of follow up, Results: The targetpatients for our study was 116, 34 of them were excluded, 16 was with positive fetal heart, 20 were hadhemoperitonium extend beyond the pelvis at the time of presentation and 8 patients were patients refusefallow up (expected management). Most of them(40%) were older than 34 years, followed by (32.5%) within age of 32.5%, while the youngest age group occupying minimal proportion (27%), According to ?-HCGconcentration most of them (58%) were with <1500 mlU/ml concentration. Conclusion: Highly proportionof tubal pregnancy managed by follow up without surgical intervention. ?-HCG titer and trans- vaginal USare the golden keys of management