β-Human chorionic gonadotropin in prediction of tubal rupture. Is it enough in the diagnosis?

C. Kaya, H. Cengiz, M. Ekin, H. Guraslan, S. Karakas, L. Yasar

Abstract: To evaluate the predictive value of β -Human Chorionic Gonadotropin (β- hCG) and other risk factors in patients with tubal rupture. The study group was comprised of 188 cases of ectopic pregnancy treated in our gynecology department from January 2007 to March 2011. A chart review was then performed with the use of medical records, ultrasound records and a laboratory database. The study group was divided into two subgroups according to their tubal status, which was diagnosed during surgery. Results. About131 (69.7%) of the patients were classified in the ruptured group and 57 (30.3%) of the patients were in the unruptured group. There was statistical significance in the preoperative hemoglobin (p=0.001) and hematocrit (p=0.0001) levels. There was no statistical significance between the two groups in β- hCG levels. Conclusions. The preoperative β-hCG measurement alone is not sufficient to predict tubal rupture in patients with ectopic pregnancy.
DOI:10.18643/gieu.2013.174

Keywords: ectopic pregnancy, hCG-beta, risk factors