OC199: Factors influencing success of conservative treatment of interstitial pregnancy

Abstract

Oral communication abstracts16/37 (43%) had a normal scan with mobile ovaries and no pelvic tenderness. 8/37 (22%) patients had a normal scan with no abnormality but tenderness. 5/37 (14%) had an ovarian cyst rupture. 8/37 had a normal scan with a non-gynaecological diagnosis. 27/37 (73%) of patients returned the follow up questionnaire. 22/35 (63%) of the patients had satisfactory resolution of their symptoms. Conclusion: The majority of patients attending an acute gynaecology unit with acute pelvic pain will have no gross pathology. In the majority of patients the symptoms will resolve satisfactorily within 7 days. OC196The value of serum biochemistry in the expectant management of incomplete miscarriage J. Elson, R. Salim, A. Lawrence, P. Cassik and D. Jurkovic King's College Hospital, UKObjective: The aim of the study was to examine the value of various ultrasound and biochemical parameters for the prediction of successful expectant management of incomplete miscarriage. Methods: This was a prospective observational study set in a dedicated early pregnancy assessment unit in an inner city teaching hospital. Clinically stable women with an ultrasound diagnosis of miscarriage were offered expectant management. In all cases the gestational age, size of products of conception, serum human chorionic gonadotrophin (β-hCG), progesterone, 17-OH progesterone, insulin growth factor binding protein 1 (IGFBP-1), inhibin A and inhibin pro α C RI levels were recorded. Follow up continued until resolution of the pregnancy, with surgery indicated for failure of pregnancy resolution after one week, or worsening clinical symptoms. Clinical data, ultrasound findings, and biochemical markers were analysed using univariate analysis. Results: 54 women underwent expectant management of miscarriage. 37 (69%) had successful expectant management and 17 (31%) required surgery. The mean time to pregnancy resolution was 8.5 days. The size of the products, serum β-hCG, progesterone, inhibin A, and inhibin proá C RI were all significantly different in those pregnancies that resolved spontaneously (p < 0.05). Serum β-hCG was the best predictor of a complete miscarriage. Conclusion: This study shows that biochemical markers may be used to predict the likelihood of successful expectant management of incomplete miscarriage. OC197Transvaginal ultrasound findings in women with moderate to severe pelvic inflammatory disease E. Okaro, G. Condous, S. Rao, A. Khalid, M. Alkatib, P. Hay and T. Bourne St. George's Hospital Medical School, UKObjectives: To investigate the transvaginal ultrasound findings in women diagnosed with moderate to severe pelvic inflammatory disease (PID) in a genitourinary medicine clinic (GUM). Method: Prospective study. This study involved 31 consecutive women seen in a GUM clinic with a diagnosis of moderate to severe PID. All patients had a transvaginal scan (TVS) on the day of presentation. During the scan the presence of tubo-ovarian pathology was documented as well as ovarian mobility and sitespecific pelvic tenderness ...