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Middle East Fertility Society Journal
Middle East Fertility Society
ISSN: 1110-5690
Vol. 9, No. 3, 2004, pp. 215-219
Bioline Code: mf04040
Full paper language: English
Document type: Research Article
Document available free of charge

Middle East Fertility Society Journal, Vol. 9, No. 3, 2004, pp. 215-219

 en Serum β-hCG level: can it discriminate between unruptured and ruptured tubal ectopic pregnancies?
Selcuk Arslan, Gorkem Tuncay,Hakan Aytan, Omer Lutfi Tapisiz

Abstract

Objective: To evaluate the predictive value of serum βhCG levels in discrimination of intact tubal pregnancies from ruptured tubal pregnancies.
Design: Prospective cohort study.
Setting: A training hospital; Turkey
Patients: Consecutively seen patients from September 1998 to December 2002 with tubal ectopic pregnancies confirmed by laparoscopy and or laparatomy.
Results:189 patients with tubal ectopic pregnancies were included in the study. 151 cases were confirmed by laparoscopy and or laparatomy. 39 patients had tubal rupture and active bleeding. 121 patients were found to have intact tubes. There was a positive correlation between serum βhCG levels and the size of ectopic pregnancies (p<0.001). The mean size of ectopic pregnancies in the ruptured group was 32.8 SEM 1.7 and 44.1 SEM 3.1 in the ruptured group (p<0.001). However, no significant correlation was found between serum βhCG levels and the tubal status (p=0.917).
Conclusion: There is no correlation between serum βhCG levels and the tubal status in the tubal ectopic pregnancies, so preoperative serum βhCG levels cannot be used in prediction of tubal integrity.

Keywords
Ectopic pregnancy, preoperative serum βhCG level, tubal integrity.

 
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