Yıl: 2020 Cilt: 27 Sayı: 5 Sayfa Aralığı: 1422 - 1427 Metin Dili: İngilizce DOI: 10.5455/annalsmedres.2019.12.785 İndeks Tarihi: 08-10-2020

A day 1 hCG can differentiate non-viable intrauterine pregnancy and ectopic pregnancy following endometrial curettage

Öz:
Aim: The aim of the present study was to determine a cutoff level for a decrease in human chorionic gonadotropin (hCG) onpostoperative day 1 to confirm intrauterine pregnancy (IUP) in patients who have undergone dilatation and curettage (D/C) with apresumptive diagnosis of nonviable pregnancy of unknown location (PUL).Material and Methods: This retrospective case–control study included patients who underwent D/C with a presumptive diagnosisof failing PUL between January 2010 and June 2015. Patients with failing PUL or confirmed to have an IUP were placed in Group 1(n=164) and patients subsequently diagnosed with ectopic pregnancy were placed in Group 2 (n=19).In all patients, serum hCG levelswere obtained on the day of D/C and on the following day.Results: The decline in serum hCG percentage on day 1 after D/C was 54.2% in patients with failing PUL/abortion and 14.3% inpatients with ectopic pregnancy (p<0.001). A decrease in hCG of more than 35% was the most sensitive marker, with sensitivity,specificity, and positive and negative predictive values of 90%, 89%, 99%, and 50%, respectively.Conclusion: Determining post curettage day 1 hCG might aid clinicians in confirming failing IUP and in ruling out an ectopic pregnancyat an earlier date.
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APA kara ö, Gencosmanoğlu Türkmen G, DAĞLAR H, Sanhal C, Laleli Koc B, Yucel A, şahin D (2020). A day 1 hCG can differentiate non-viable intrauterine pregnancy and ectopic pregnancy following endometrial curettage. , 1422 - 1427. 10.5455/annalsmedres.2019.12.785
Chicago kara özgür,Gencosmanoğlu Türkmen Gülenay,DAĞLAR Halil Korkut,Sanhal Cem Yasar,Laleli Koc Bergen,Yucel Aykan,şahin Dilek A day 1 hCG can differentiate non-viable intrauterine pregnancy and ectopic pregnancy following endometrial curettage. (2020): 1422 - 1427. 10.5455/annalsmedres.2019.12.785
MLA kara özgür,Gencosmanoğlu Türkmen Gülenay,DAĞLAR Halil Korkut,Sanhal Cem Yasar,Laleli Koc Bergen,Yucel Aykan,şahin Dilek A day 1 hCG can differentiate non-viable intrauterine pregnancy and ectopic pregnancy following endometrial curettage. , 2020, ss.1422 - 1427. 10.5455/annalsmedres.2019.12.785
AMA kara ö,Gencosmanoğlu Türkmen G,DAĞLAR H,Sanhal C,Laleli Koc B,Yucel A,şahin D A day 1 hCG can differentiate non-viable intrauterine pregnancy and ectopic pregnancy following endometrial curettage. . 2020; 1422 - 1427. 10.5455/annalsmedres.2019.12.785
Vancouver kara ö,Gencosmanoğlu Türkmen G,DAĞLAR H,Sanhal C,Laleli Koc B,Yucel A,şahin D A day 1 hCG can differentiate non-viable intrauterine pregnancy and ectopic pregnancy following endometrial curettage. . 2020; 1422 - 1427. 10.5455/annalsmedres.2019.12.785
IEEE kara ö,Gencosmanoğlu Türkmen G,DAĞLAR H,Sanhal C,Laleli Koc B,Yucel A,şahin D "A day 1 hCG can differentiate non-viable intrauterine pregnancy and ectopic pregnancy following endometrial curettage." , ss.1422 - 1427, 2020. 10.5455/annalsmedres.2019.12.785
ISNAD kara, özgür vd. "A day 1 hCG can differentiate non-viable intrauterine pregnancy and ectopic pregnancy following endometrial curettage". (2020), 1422-1427. https://doi.org/10.5455/annalsmedres.2019.12.785
APA kara ö, Gencosmanoğlu Türkmen G, DAĞLAR H, Sanhal C, Laleli Koc B, Yucel A, şahin D (2020). A day 1 hCG can differentiate non-viable intrauterine pregnancy and ectopic pregnancy following endometrial curettage. Annals of Medical Research, 27(5), 1422 - 1427. 10.5455/annalsmedres.2019.12.785
Chicago kara özgür,Gencosmanoğlu Türkmen Gülenay,DAĞLAR Halil Korkut,Sanhal Cem Yasar,Laleli Koc Bergen,Yucel Aykan,şahin Dilek A day 1 hCG can differentiate non-viable intrauterine pregnancy and ectopic pregnancy following endometrial curettage. Annals of Medical Research 27, no.5 (2020): 1422 - 1427. 10.5455/annalsmedres.2019.12.785
MLA kara özgür,Gencosmanoğlu Türkmen Gülenay,DAĞLAR Halil Korkut,Sanhal Cem Yasar,Laleli Koc Bergen,Yucel Aykan,şahin Dilek A day 1 hCG can differentiate non-viable intrauterine pregnancy and ectopic pregnancy following endometrial curettage. Annals of Medical Research, vol.27, no.5, 2020, ss.1422 - 1427. 10.5455/annalsmedres.2019.12.785
AMA kara ö,Gencosmanoğlu Türkmen G,DAĞLAR H,Sanhal C,Laleli Koc B,Yucel A,şahin D A day 1 hCG can differentiate non-viable intrauterine pregnancy and ectopic pregnancy following endometrial curettage. Annals of Medical Research. 2020; 27(5): 1422 - 1427. 10.5455/annalsmedres.2019.12.785
Vancouver kara ö,Gencosmanoğlu Türkmen G,DAĞLAR H,Sanhal C,Laleli Koc B,Yucel A,şahin D A day 1 hCG can differentiate non-viable intrauterine pregnancy and ectopic pregnancy following endometrial curettage. Annals of Medical Research. 2020; 27(5): 1422 - 1427. 10.5455/annalsmedres.2019.12.785
IEEE kara ö,Gencosmanoğlu Türkmen G,DAĞLAR H,Sanhal C,Laleli Koc B,Yucel A,şahin D "A day 1 hCG can differentiate non-viable intrauterine pregnancy and ectopic pregnancy following endometrial curettage." Annals of Medical Research, 27, ss.1422 - 1427, 2020. 10.5455/annalsmedres.2019.12.785
ISNAD kara, özgür vd. "A day 1 hCG can differentiate non-viable intrauterine pregnancy and ectopic pregnancy following endometrial curettage". Annals of Medical Research 27/5 (2020), 1422-1427. https://doi.org/10.5455/annalsmedres.2019.12.785