Cuatro años de experiencia en tratamiento médico del embarazo ectópico en el departamento de Paysandú

Vanessa Guzzo; Sebastián Ben; Natalia Sica

doi:10.29193/RMU.37.1.1

Authors

Vanessa Guzzo Asistente de Clínica Ginecotológica A, Facultad de Medicina, Universidad de la República. Montevideo, Uruguay
Sebastián Ben Spanish
Natalia Sica Profesor Adjunto. Clínica Ginecotológica A, Facultad de Medicina, Universidad de la República. Montevideo, Uruguay.

DOI:

https://doi.org/10.29193/RMU.37.1.1

Keywords:

ECTOPIC PREGNANCY, METHOTREXATE, FERTILITY

Abstract

Introduction: In recent years there has been a decrease in deaths related to ectopic pregnancy, thanks to progress made in early diagnosis, which in turn allowed for medical treatment with methotrexate in selected patients.
The study’s first objective is to report the experience of methotrexate treatment in the Department of Paysandú and its secondary objective is to determine users’ satisfaction towards this treatment and find about their subsequent fertility.
Method: a retrospective, observational study is presented of tubal ectopic pregnancies treated with methotrexate in Paysandú, from January 1, 2014 to December 31, 2017, during a 4-year period. Failure of medical treatment was defined as the cases requiring surgical treatment and subsequent fertility was defined as the time it took to achieve a spontaneous intrauterine gestation. Results: 67 ectopic pregnancies were recorded in four years, 13 of which received intramuscular methotrexate with a success rate of 69.2%. Subsequent fertility was found to be 25%. Conclusions: methotrexate has been used to treat ectopic pregnancies in Paysandú for almost a decade, with good results and acceptable rates of user satisfaction.

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