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26 July 2011

D&C valuable in ectopic pregnancy

A presumptive diagnosis of ectopic pregnancy in women with pregnancy of unknown location is often inaccurate, and if these women are stable they should undergo a D&C.

A presumptive diagnosis of ectopic pregnancy (EP) in women with pregnancy of unknown location is often inaccurate, and if these women are clinically stable they should undergo dilation and curettage (D&C), according to a paper in Fertility and Sterility.

Many doctors give methotrexate in all cases of suspected EP, even though it carries a major risk for side effects. Dr Chung and colleagues point out that while D&C may cost more, one analysis found it resulted in fewer complications and hospitalizations than empiric methotrexate.

 
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