ectopic pregnancy management
34/f ectopic ,7 week 5days no heart beat,no free fluid,only sac gynaecologist advised laparoscopic surgery ,1.to remove tube . 2 nd opinion is unruptured ectopic so advised inj.methotrexate 50 mg I'm wait 3 days, 2 nd options is Done (injection) kindly Guide me drs
as per gynaecologist opinion there is two options 1. laparoscopic surgery remove tube, if ruptured open surgery 2. injection monitoring bhcg 9988-first inj., second inj.BHCG reduced 8768 after a week come down 3255 Dr said good progress . criteria 1.no abd pain ,not ruptured, no vomiting &Giddiness -slow process under injection IM
ectopic pregnancy Go For Surgery Or If Avoid Surgery Then Give Tishna Niruha Basti 2 days . After Bleeding There Is No Matter For Going Onwards
as per gynaecologist opinion there is two options 1. laparoscopic surgery remove tube, if ruptured open surgery 2. injection monitoring bhcg 9988-first inj., second inj.BHCG reduced 8768 after a week come down 3255 Dr said good progress . criteria 1.no abd pain ,not ruptured, no vomiting &Giddiness -slow process under injection IM
Belladonna 30
Rx Belladonna, Colocynth ??
Rx Bella May be helpful
Belladonna 30 Puls 1M
@Dr. Vandana Sharma
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Today morning laparotomy done in case of ruptured ampulary ectopic pregnancy.pt is G6 P4A1. pt.referred from periphery (45km away) by surgeon with pulseless,BP less with pupil dilated with weak s1s2 when we received pt.incubation done CPR given with 2 DC SHOCK,When operated periphery pulse absent.per op.2 litter deoxygenated blood with clots(dark red)drained,their is left side ruptured ectopic with small g.sac with fetus inside proped through ruptured site seen.total salpingectomy done.drain kept.lavage done with saline.With full support of noradrenaline dopamine post op.BP 90/70mm HG,pulse 130/minute.on HB 3 Gm 4 pint whole blood given,FFP running,PC ready.U/o 20cc manitole given.let's hope for best as pupils dilated and non reactive to light.prognosis may become good if surgeon had gone laparotomy with the help of gynaecologist without wasting time.
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