A United Kingdom national survey of trends in ectopic pregnancy management

Abstract Our national survey demonstrates increased use of medical and laparoscopic management of ectopic pregnancy in the UK. In the UK in 2000, 35% of cases were managed by laparoscopy, 63% by laparotomy and 1% with medication. A recent review in the USA revealed increasing rates of medical manage...

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Bibliographic Details
Published in:Journal of obstetrics and gynaecology 2014-08, Vol.34 (6), p.508-511
Main Authors: Taheri, M., Bharathan, R., Subramaniam, A., Kelly, T.
Format: Article
Language:English
Subjects:
Disease management
Ectopic pregnancy
Female
Gynecology
Gynecology - statistics & numerical data
Gynecology - trends
Health Resources - statistics & numerical data
Humans
laparoscopy
Obstetrics - statistics & numerical data
Obstetrics - trends
Pregnancy
Pregnancy, Ectopic - drug therapy
Pregnancy, Ectopic - surgery
Surveys and Questionnaires
training
United Kingdom
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Summary:Abstract Our national survey demonstrates increased use of medical and laparoscopic management of ectopic pregnancy in the UK. In the UK in 2000, 35% of cases were managed by laparoscopy, 63% by laparotomy and 1% with medication. A recent review in the USA revealed increasing rates of medical management and decreasing rates of laparotomy; a trend driven by both cost-effectiveness and patient choice. A total of 119 early pregnancy units were surveyed regarding the nature and management of the three most recent cases of ectopic pregnancy; in addition, feasibility of training residents was also requested. Participants reported on 124 cases with a median of five cases per month per department. A total of 57% of cases were managed laparoscopically, 31% medically, 5% by laparotomy and 6% conservatively. Out of 44 centres, 29 have the facilities for training in both intermediate laparoscopic surgery and early pregnancy ultrasound.
ISSN:0144-3615
1364-6893
DOI:10.3109/01443615.2014.910181