دورية أكاديمية
أعرض في EDS

Pregnancy of unknown location: a consensus statement of nomenclature, definitions, and outcome.

التفاصيل البيبلوغرافية
العنوان: Pregnancy of unknown location: a consensus statement of nomenclature, definitions, and outcome.
المؤلفون: Barnhart K; Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA. kbarnhart@obgyn.upenn.edu, van Mello NM, Bourne T, Kirk E, Van Calster B, Bottomley C, Chung K, Condous G, Goldstein S, Hajenius PJ, Mol BW, Molinaro T, O'Flynn O'Brien KL, Husicka R, Sammel M, Timmerman D
المصدر: Fertility and sterility [Fertil Steril] 2011 Mar 01; Vol. 95 (3), pp. 857-66. Date of Electronic Publication: 2010 Oct 14.
نوع المنشور: Consensus Development Conference; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Elsevier for the American Society for Reproductive Medicine Country of Publication: United States NLM ID: 0372772 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1556-5653 (Electronic) Linking ISSN: 00150282 NLM ISO Abbreviation: Fertil Steril Subsets: MEDLINE
أسماء مطبوعة: Publication: New York. NY : Elsevier for the American Society for Reproductive Medicine
Original Publication: New York, Hoeber.
مواضيع طبية MeSH: Consensus* , Terminology as Topic*, Pregnancy, Ectopic/*diagnostic imaging , Pregnancy, Ectopic/*mortality , Ultrasonography, Prenatal/*standards, Female ; Global Health ; Humans ; Pregnancy ; Risk Factors
مستخلص: Objective: To improve the interpretation of future studies in women who are initially diagnosed with a pregnancy of unknown location (PUL), we propose a consensus statement with definitions of population, target disease, and final outcome.
Design: A review of literature and a series of collaborative international meetings were used to develop a consensus for definitions and final outcomes of women initially diagnosed with a PUL.
Result(s): Global differences were noted in populations studied and in the definitions of outcomes. We propose to define initial ultrasound classification of findings into five categories: definite ectopic pregnancy (EP), probable EP, PUL, probable intrauterine pregnancy (IUP), and definite IUP. Patients with a PUL should be followed and final outcomes should be categorized as visualized EP, visualized IUP, spontaneously resolved PUL, and persisting PUL. Those with the transient condition of a persisting PUL should ultimately be classified as nonvisualized EP, treated persistent PUL, resolved persistent PUL, or histologic IUP. These specific categories can be used to characterize the natural history or location (intrauterine vs. extrauterine) of any early gestation where the initial location is unknown.
Conclusion(s): Careful definition of populations and classification of outcomes should optimize objective interpretation of research, allow objective assessment of future reproductive prognosis, and hopefully lead to improved clinical care of women initially identified to have a PUL.
(Copyright © 2011 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.)
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معلومات مُعتمدة: R01 HD036455-10 United States HD NICHD NIH HHS; R01-HD036455 United States HD NICHD NIH HHS; K24 HD060687 United States HD NICHD NIH HHS; K24 HD060687-01A1 United States HD NICHD NIH HHS; R01 HD036455 United States HD NICHD NIH HHS
تواريخ الأحداث: Date Created: 20101016 Date Completed: 20110422 Latest Revision: 20220408
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC3032825
DOI: 10.1016/j.fertnstert.2010.09.006
PMID: 20947073
قاعدة البيانات: MEDLINE
الوصف
تدمد:1556-5653
DOI:10.1016/j.fertnstert.2010.09.006