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conservative treatment of unruptured ectopic pregnancy in jamaica保守治疗的颅内宫外孕的牙买加
Open Journal of Obstetrics and Gynecology, 2011, 1, 6-11 OJOG
doi:10.4236/ojog.2011.11002 Published Online March 2011 (http://www.SciRP.org/journal/ojog/).
Conservative treatment of unruptured ectopic pregnancy in
Jamaica
H. Fletcher, K. Buchanan, L. Jacob
Department of Obstetrics and Gynaecology, University of the West Indies, Mona, Kingston, Jamaica.
Email: horace.fletcher@.jm
Received 15 February 2011; revised 18 March 2011; accepted 25 March 2011.
ABSTRACT changed from the primary surgical to medical treatment
which now commonly predominates [5]. In Jamaica the
Medical treatment with methotrexate is now suc-
primary mode of treatment still remains surgical as the
cessfully replacing conservative surgical treatment in
patients tend to present later when signs and symptoms
selected patients. We reviewed patients treated with
of rupture are more commonly present. At The Univer-
methotrexate, compared to salpingectomy and sal-
sity Hospital of The West Indies 96.8% and 92% of
pingostomy between 1990 to 1995 and 2000 to 2003.
cases of ectopic pregnancies were treated surgically in
For 1990 - 1995 there were 21 conservative surgical
2002 and 2003
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