An observational study in Ectopic Pregnancy, sponsored by University of Palermo. Completed. Open to female participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2022-08-02.
Sponsored by University of Palermo · Observational
Although ectopic pregnancy was considered a leading cause of first-trimester maternal mortalities, current technological improvements allowed early diagnosis and opened a door for applying less invasive approaches. A tubal pregnancy could be managed either expectantly, medically, or surgically. The expectant management of ectopic pregnancy relies on the fact that a considerable proportion of ectopic gestations terminate by spontaneous tubal abortion. This approach is usually kept for stable cases with a small gestational sac and low beta-human chorionic gonadotropin (beta-HCG) serum levels. For hemodynamically unstable patients, higher levels of beta-HCG, and larger gestational sacs, surgery is often considered as the treatment of choice (16).
Considering this background, the study aims to analyze the subsequent natural reproductive outcomes of patients that had a previous tubal ectopic pregnancy and were managed either expectantly or surgically. Moreover, it amis to determine the factors that could influence the fertility potential of these patients in each treatment group.
83 studies on the registry are indexed under Pregnancy, Ectopic; 21 are open to participants now.
This study's enrollment of 312 is above the median of 150 across 39 observational studies indexed under Pregnancy, Ectopic.
Browse Pregnancy, Ectopic studies →University of Palermo is the lead sponsor of 145 studies on the registry; 28 are open to participants now.
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Women with either surgically-confirmed tubal ectopic pregnancy or a diagnosis of tubal ectopic pregnancy based on a positive beta-HCG serum measurement with the visualization of an adnexal mass resembling a tubal gestational sac and an empty uterine cavity upon transvaginal ultrasonographic scan.
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Exclusion Criteria:
Women with diagnosed tubal ectopic pregnancy
Other: Expectant management · Procedure: Salpingectomy · Procedure: Salpingostomy
Follow-up with beta-HCG dosages and transvaginal ultrasound scans
Removal of the affected Fallopian tube by laparoscopy
Removal of the ectopic pregnancy from the Fallopian tube, without removing the whole Fallopian tube, by laparoscopy
Clinical pregnancy rate
Presence of a gestational sac under ultrasonography
Time frame: Within one year after the previous episode of tubal ectopic pregnancy
No study locations are listed for this record.
Plan to share: Yes
No publications or documents are linked to this record.
Ran from Jan 2012 to primary completion in Dec 2020, 107 months.
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This study is completed, as verified in Jul 2022. You cannot join it, but the record below documents what was studied.
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