Background. One of the treatment modalities for ectopic pregnancy is methotrexate. The purpose of this study is to identify the failure rate of methotrexate in treating patients with ectopic pregnancy as well as the risk factors leading to treatment failure. Methods. A retrospective chart review of 225 patients who received methotrexate as a primary management option for ectopic pregnancy. Fail...

Twenty-seven years old Bahraini lady, known to be suffering with fibrosing alveolitis for some eight years, presented to the accident and emergency department of Salmaniya Medical Complex. Recently her respiratory function had deteriorated and she had become house-bound on home oxygen therapy and nebulizers. She was taking Prednisilone tablets and Immuran. She was admitted to the Intensive Care...

Results The prevalence of various pregnancy complications was 8. 6% for birth prematurely, 9. 2% for hypertension or preeclampsia, IUGR 5. 8% and 7. 3% for loss pregnancy. PAPP A levels were lower in fetal loss group (P = 0. 005), vascular disease group(P = 0. 001) and preterm delivery group(P = 0. 001). In addition, a lower rate of bHCG was associated with the occurrence of placental pathologi...

The advent of the radioimmunoassay of Beta subunit chorionic gonadotropin (BhCG) has eliminated a major problem in following the patient with gestational trophoblastic neoplasia (GTN). Whole hCG cross reacts with luteinizing hormone (hLH) causing difficulties when GTN patient titers fall to levels coincidental with pituitary levels of hLH. The use of the Beta subunit of hCG in radioimmunoassay ...

Objectives: The aim of this study was to investigate the efficacy and safety of uterine artery embolization (UAE) combined with intra-arterial methotrexate (MTX) infusion for the treatment of caesarean scar pregnancy (CSP), compared with systemic MTX injection combined with uterine curettage. Study design: A retrospective cohort study. An analysis of CSP patients was performed using records fro...

Introduction: The cesarean scar pregnancy is on rise and the objective of this case study to highlight a different, bold but conservative approach an unusual challenging eight weeks heterotopic pregnancy, which was threatening rupture. Case Report: A 31-year-old G3P2L1 previous two sections presented with lower abdominal pain bleeding. She hemodynamically stable, ultrasonography (USG) magnetic ...