Aspectos epidemiológicos e clínicos das gestações ectópicas em serviço universitário no período de 2000 a 2004

Fernandes, Arlete; Moretti, Tomás Bernardo Costa; Olivotti, Bruna

doi:10.1590/s0104-42302007000300017

Cited by 2 publications

(6 citation statements)

References 8 publications

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“…Al, demonstrate that the most affected site in EG are the fallopian tubes, accounting for approximately 95% of cases. 2,17 These data confirm the findings of this research, in which the percentage of patients with pregnancies in the fallopian tubes was 100% of the cases. Another factor considered in the studies involves the portion of the UT affected, but this data was not recorded in any of the medical records included in this study, making its analysis impossible.…”

Section: Discussionsupporting

confidence: 86%

“…Of the patients considered in this study, only 1 of them required blood transfusion due to signs and symptoms of shock. It is known that hemodynamic instability triggered by the rupture of the fallopian tube is one of the main causes of maternal mortality in first trimester pregnant women and that its occurrence involves approximately 20% of cases of GT 2,5 , which corroborates the result found.…”

Section: Discussionsupporting

confidence: 82%

“…According to published studies, such as those by Fernandes et al, Taran et al and the CDC, the rupture of the affected fallopian tube occurs in approximately one to two thirds of documented cases and the chances of this outcome occurring are higher in women over 35 years of age. 2,4,25 Accordingly, in this study, rupture was also observed in the vast majority of patients, but this age was not a risk factor, since the mean age in this situation was approximately 27 years.…”

Section: Discussionmentioning

confidence: 46%

“…Another risk factor reported in published studies includes a previous history of spontaneous abortions, as shown by Fernandes et al, Chow et al and Elito et al 2,7,34 Of the cases considered in this study, only one had a history of three miscarriages prior to diagnosis. However, this positive association is not unanimous among the authors, as shown in the work by Gaskins et al 20 The main symptoms presented by the patients found in this study are in agreement with published studies.…”

Section: Discussionmentioning

confidence: 61%

“…1 Tubal pregnancy (TG) accounts for approximately 95% of EG cases, of which more than 70% occur in the ampulla, followed by 25% in the isthmic zone and 2% in the interstitial zone. 2 Other sites affected by GE involve the ovaries, cesarean section scar, peritoneal cavity and the broad ligament. 3 EF is a major health problem among women of childbearing age, accounting for approximately 1-2% of all pregnancies in the general population.…”

Section: Introductionmentioning

confidence: 99%

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Characterization of the Clinical Profile in Tubaric Ectopic Pregnancy in Teresopolis in the Year 2020

Dantas¹,

Moreira²

2022

JHS

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Introduction: Tubal ectopic pregnancy is a major health problem among women of childbearing age, accounting for approximately 1-2% of all pregnancies in the general population. It is considered the leading cause of maternal death in the first trimester, accounting for approximately 2.7% of all pregnancy-related deaths. Goals: To know the profile of patients diagnosed with tubal ectopic pregnancy at the Hospital das Clinicas de Teresópolis Constantino Ottaviano, in the year 2020. Method: A bibliographic survey was carried out, followed by a quantitativedescriptive field research, with an analysis of 1620 records of interest. Of these, 23 had a diagnosis of tubal ectopic pregnancy and, after exclusion criteria, 22 medical records were admitted for analysis of the variables predefined in the form. After completing this stage, a retrospective study was carried out in order to identify prevalent elements and their relationships, and a characterization of these patients was outlined. Results: Higher incidence of white women, between 25 and 30 years old, complaining of bilateral abdominal pain, associated with vaginal bleeding, with tubal rupture and good general condition, diagnosed with transvaginal ultrasound and treated with exploratory laparotomy with salpingectomy. Conclusion: From this study, it was possible to trace the epidemiological profile of women who had tubal ectopic pregnancy at the HCTCO in 2020, but the lack of information reported in the medical records affected the accuracy of the analysis and outcome of this research.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 46%

Section: Discussionmentioning

confidence: 61%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Characterization of the Clinical Profile in Tubaric Ectopic Pregnancy in Teresopolis in the Year 2020

Dantas¹,

Moreira²

2022

JHS

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Características epidemiológicas, clínicas y quirúrgicas de pacientes con embarazo ectópico en el Hospital Nacional Arzobispo Loayza

Guadalupe¹,

Rivera²,

Mendoza³

et al. 2013

Rev peru ginecol obstet.

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Objetivos: Describir las características epidemiológicas, clínicas y quirúrgicas del embarazo ectópico. Diseño: Estudio descriptivo y retrospectivo. Institución: Departamento de Obstetricia y Ginecología, Hospital Nacional Arzobispo Loayza. Participantes: Mujeres con embarazo ectópico. Intervenciones: Revisión de 348 historias clínicas de pacientes con diagnóstico definitivo de embarazo ectópico en el periodo 2006-2010. Principales medidas de resultados: Características de pacientes con embarazo ectópico. Resultados: Se encontró una frecuencia de un embarazo ectópico por cada 49 partos. La edad promedio fue 29,2 ± 6,5 años; 28,5% de las pacientes fue soltera, 65,6% presentó más de una pareja sexual y 25,9% fue nulípara. El 25,9% presentó antecedente quirúrgico de legrado uterino o aspiración manual endouterina; 54,3% tenía relaciones sexuales con las menstruaciones, 22,1% sufrió de enfermedad pélvica inflamatoria (EPI) y 33,8% usó el dispositivo intrauterino como método anticonceptivo. El tiempo promedio de amenorrea fue 6,8 ± 2,1 semanas y la sintomatología principal dolor abdominal (97,9%). La ecografía transvaginal demostró tumoración anexial en 70,7% de los casos. En más de 60% la complicación fue resuelta en menos de 6 horas. El 94,8% recibió tratamiento quirúrgico, 4% médico y 1,2% expectante. La salpinguectomía total (67,6%) fue el principal procedimiento realizado. La localización más frecuente fue la tubárica (94,5%), especialmente en la región ampular. Conclusiones: La frecuencia encontrada en esta población ha sido mucho mayor a la de estudios locales previos. Las pacientes que ingresan con diagnóstico de embarazo ectópico acuden en su mayoría tardíamente, presentando cuadros complicados que requieren manejo quirúrgico muchas veces radical. Palabras clave: Embarazo ectópico, factores de riesgo, diagnóstico, manejo, salpinguectomía.

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Aspectos epidemiológicos e clínicos das gestações ectópicas em serviço universitário no período de 2000 a 2004

Abstract: Frequency of ectopic pregnancies remained unchanged in the period under study and only the percentage of women with previous EP was associated with frequency of EP.

Cited by 2 publications

References 8 publications

Characterization of the Clinical Profile in Tubaric Ectopic Pregnancy in Teresopolis in the Year 2020

Characterization of the Clinical Profile in Tubaric Ectopic Pregnancy in Teresopolis in the Year 2020

Características epidemiológicas, clínicas y quirúrgicas de pacientes con embarazo ectópico en el Hospital Nacional Arzobispo Loayza

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