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Publish Date : 2016-11-22
Journal of Gynecology and Neonatal Biology

Review on Outcome of Pregnancy of Unknown Location and Further Management – A Retrospective Study

Wynn Thida
Ahmar Ali Shah
Article information 

Affiliation

Department of Obstetrics and Gynaecology, Yeovil District Hospital NHS Foundation Trust, Higher Kingston

Corresponding Author

Wynn Thida, Department of Obstetrics and Gynaecology, Yeovil District Hospital NHS Foundation Trust, Higher Kingston, Yeovil, Somerset, BA21 4AT, UK; E-mail: maywynn@gmail.com

Citation

Thida, W., et al. Review on Outcome of Pregnancy of Unknown Location and Further Management – A Retrospective Study. (2017) J Gynecol Neonatal Biol 2(2): 46-49.

Copy rights

© 2017 Thida, W. This is an Open access article distributed under the terms of Creative Commons Attribution 4.0 International License.

Keywords

Abstract

 

Aims: The study aimed to review the outcomes of pregnancy of unknown location (PUL) in EPAU at Yeovil District Hospital and determine the PUL rate and correlate the serial beta hCG with the predicted outcome and review the further management.
Methods: A retrospective study over a year period reviewing the cases diagnosed as PUL between 1st November 2014 to 31st October 2015. Those patients between 6 and 15 weeks turning up at EPAC for the 1st visit were included and those patients less than 6 weeks and those for rescans were excluded.
Results: The total number of pelvic scans done in EPAC unit at YDH during the study period was 1093. The total number of PUL cases was 96 giving the PUL rate of 9%. Of all the PUL patients the most common outcome was Failing pregnancy (53%) and the ectopic pregnancy rate was 9%. PUL patients that ended up with ectopic pregnancy (11%) behave like Intrauterine pregnancy (IUP). Among those PUL ended up with IUP, 21 % had suboptimal changes in serial beta hCG.
Conclusions: PUL rate in our unit is 9% which is similar to the reported rate in the literature. The predicted outcomes like failing pregnancy, ectopic pregnancy, IUP and persistent PUL are comparable to those reported in the literature. Majority of outcome of PUL is not ectopic. Further management for each outcome of PUL should be based upon good history taking, clinical assessments, haemodynamic stability and patient’s informed choices.