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From β-hCG values to counseling in tubal pregnancy: what do women want?
Gynecol Endocrinol. 2019 Dec; 35(12):1021-1026.GE

Abstract

Tubal pregnancy represents an entity that every gynecologist will encounter during professional life. Because of the high prevalence among the pregnant population, standardized protocols are needed in order to choose the optimal strategy for each case. Accurate ultrasound pictures are supporting a more precise diagnosis of ectopic tubal pregnancy, the evolution of which should be closely monitored in follow-up with serial β-hCG values. Laparoscopy, intramuscular methotrexate, and active expectant management are all involved, however, tailoring the best treatment to the patient's needs is the challenge to focus on. This manuscript describes how in routinary practice an evidence-based diagnostic process should be the key factor to go for the best possible management. When possible, a longsighted less invasive approach should be preferred, aiming to preserve the patient's fertility for years to come. An optimal choice of the management should involve the patient or the couple in the decision-making process to reach the ultimate goal of compliance.

Authors+Show Affiliations

Local Health Authority of Reggio Emilia, Division of Obstetrics and Gynecology, Cesare Magati Hospital, Scandiano, Italy.Local Health Authority of Reggio Emilia, Division of Obstetrics and Gynecology, Cesare Magati Hospital, Scandiano, Italy.Division of Obstetrics and Gynecology, Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy.Division of Obstetrics and Gynecology, Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31322446

Citation

Sabbioni, Lorenzo, et al. "From β-hCG Values to Counseling in Tubal Pregnancy: what Do Women Want?" Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology, vol. 35, no. 12, 2019, pp. 1021-1026.
Sabbioni L, Carossino E, Severi FM, et al. From β-hCG values to counseling in tubal pregnancy: what do women want? Gynecol Endocrinol. 2019;35(12):1021-1026.
Sabbioni, L., Carossino, E., Severi, F. M., & Luisi, S. (2019). From β-hCG values to counseling in tubal pregnancy: what do women want? Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology, 35(12), 1021-1026. https://doi.org/10.1080/09513590.2019.1640201
Sabbioni L, et al. From β-hCG Values to Counseling in Tubal Pregnancy: what Do Women Want. Gynecol Endocrinol. 2019;35(12):1021-1026. PubMed PMID: 31322446.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - From β-hCG values to counseling in tubal pregnancy: what do women want? AU - Sabbioni,Lorenzo, AU - Carossino,Emanuela, AU - Severi,Filiberto Maria, AU - Luisi,Stefano, Y1 - 2019/07/19/ PY - 2019/7/20/pubmed PY - 2019/7/20/medline PY - 2019/7/20/entrez KW - Counseling KW - laparoscopy KW - methotrexate KW - transvaginal ultrasound KW - tubal pregnancy KW - β-hCG SP - 1021 EP - 1026 JF - Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology JO - Gynecol. Endocrinol. VL - 35 IS - 12 N2 - Tubal pregnancy represents an entity that every gynecologist will encounter during professional life. Because of the high prevalence among the pregnant population, standardized protocols are needed in order to choose the optimal strategy for each case. Accurate ultrasound pictures are supporting a more precise diagnosis of ectopic tubal pregnancy, the evolution of which should be closely monitored in follow-up with serial β-hCG values. Laparoscopy, intramuscular methotrexate, and active expectant management are all involved, however, tailoring the best treatment to the patient's needs is the challenge to focus on. This manuscript describes how in routinary practice an evidence-based diagnostic process should be the key factor to go for the best possible management. When possible, a longsighted less invasive approach should be preferred, aiming to preserve the patient's fertility for years to come. An optimal choice of the management should involve the patient or the couple in the decision-making process to reach the ultimate goal of compliance. SN - 1473-0766 UR - https://www.unboundmedicine.com/medline/citation/31322446/From_β-hCG_values_to_counseling_in_tubal_pregnancy:_what_do_women_want L2 - http://www.tandfonline.com/doi/full/10.1080/09513590.2019.1640201 DB - PRIME DP - Unbound Medicine ER -
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