Ectopic pregnancy: modern therapeutic and diagnostic management algorithms

Sutugina O. N., Shubin L. B., Okhapkin M. B., Trоkhanova O. V., Yershova Y. V., Chizhova Y. A.

According to statistics, suspicion of ectopic pregnancy is the reason for hospitalization in gynecological departments in 6-10% of cases. Every ectopic pregnancy is a reproductive loss, which affects the overall demographic situation in the Russian Federation. The article presents the data of a retrospective analysis of 680 patients of the gynecological department of the regional perinatal center WHO were diagnosed with ectopic pregnancy from 2013 to 2019. The analysis and evaluation of the effectiveness of various management tactics of patients with ectopic pregnancy: surgically treatment (610), using methotrexate (40) and conservative-wait-and-see management tactics (30). The need to develop therapeutic and diagnostic algorithms for managing patients with ectopic pregnancy has been identified.

Keywords:ectopic pregnancy, human chorionic gonadotropin (β-HCG), methotrexate, salpingectomy, salpingotomy, milking.