Objective: To evaluate the use of methotexate (MTX) in the treatment of non-complicated ectopic pregnancy. design: Observational prospective study. Setting: Instituto Latinoamericano de Salud Reproductiva. Participants: Women with non complicated ectopic pregnancy. Interventions: Between 1998 and 2005, 21 cases had ultrasound diagnosis of less than 30 mm adnexal tumor, absence of embryo activity, absence of clinical and/or ultrasound evidence of internal hemorrage and chorionic gonadotropin beta sub unit (hCG-β) less than 3000 mUI/mL. Three women had only 1 uterine tube; one of them received MTX in 2 occasions. Treatment consisted in a single dose of MTX 1mg/kg IV or PO. Follow-up consisted in weekly-β and ultrasonographic assessment (including Doppler color study). Informed consent was applied. Main outcome measures: Ectopic pregnancy resolution. Results: Nineteen cases (95,2%) showed...

Objectives: To determine whether volumetric ultrasonography (3D, static and dynamic) provides better information than conventional ultrasound (2D) in the assessment of pregnancy before 7 weeks of amenorrhea. Design: Clinical series of cases study. Setting: Instituto Latinoamericano de Salud Reproductiva – ILSAR. Participants: Pregnant women within the fifth and seventh weeks of pregnancy. Interventions: An endovaginal ultrasound was performed to 30 pregnant women between the fifth and seventh weeks of amenorrhea with a GE Volusson Expert 730 using multifrequency endocavitary transductor (3.7-9.3 MHZ), 75% maximum potency in function ‘Early Pregnancy’ without harmonics; test duration was 5-15 minutes. Once the chorionic sac was localized its content was assessed for the yolk sac and the embryo, first using 2D and then static 3D and dynamic 3D (4D). Main outcome measures: Identifica...

Objectives: To determine whether volumetric ultrasonography (3D, static and dynamic) provides better information than conventional ultrasound (2D) in the assessment of pregnancy before 7 weeks of amenorrhea. Design: Clinical series of cases study. Setting: Instituto Latinoamericano de Salud Reproductiva – ILSAR. Participants: Pregnant women within the fifth and seventh weeks of pregnancy. Interventions: An endovaginal ultrasound was performed to 30 pregnant women between the fifth and seventh weeks of amenorrhea with a GE Volusson Expert 730 using multifrequency endocavitary transductor (3.7-9.3 MHZ), 75% maximum potency in function ‘Early Pregnancy’ without harmonics; test duration was 5-15 minutes. Once the chorionic sac was localized its content was assessed for the yolk sac and the embryo, first using 2D and then static 3D and dynamic 3D (4D). Main outcome measures: Identifica...

Objective: To evaluate the use of methotexate (MTX) in the treatment of non-complicated ectopic pregnancy. design: Observational prospective study. Setting: Instituto Latinoamericano de Salud Reproductiva. Participants: Women with non complicated ectopic pregnancy. Interventions: Between 1998 and 2005, 21 cases had ultrasound diagnosis of less than 30 mm adnexal tumor, absence of embryo activity, absence of clinical and/or ultrasound evidence of internal hemorrage and chorionic gonadotropin beta sub unit (hCG-β) less than 3000 mUI/mL. Three women had only 1 uterine tube; one of them received MTX in 2 occasions. Treatment consisted in a single dose of MTX 1mg/kg IV or PO. Follow-up consisted in weekly-β and ultrasonographic assessment (including Doppler color study). Informed consent was applied. Main outcome measures: Ectopic pregnancy resolution. Results: Nineteen cases (95,2%) showed...