Lab Assessment 1
This article was written in aims to evaluate a prospectively implemented clinical algorithm which served in the early identifications of Ectopic pregnancy (EP) and Heterotopic pregnancy (HP) after use of assisted reproductive technologies (In-vitro fertilization). The data used in this research were patients who all received in-vitro fertilization or other methods of Assisted reproductive technology from between January 1995 to June 2013.
The early pregnancy stage was monitored using clinical algorithms where all pregnancies were screened using Human chorionic gonadotropin (hCG) levels and any reported symptoms during pregnancy as well as use of ultrasound evaluations where hCG levels were abnormal or patient reported any pains.
The research found that within the 3904 pregnancies included in the data, the incidence of Ectopic and Heterotopic pregnancies were 0.77% and 0.46% respectively. The clinical algorithm managed to detect and select 96.7% of the 0.77% diagnosed with EP as well as 83.3% of the 0.46% diagnosed with HP leading to earlier treatment and resolution of the problem. These results showed the effectiveness of the developed clinical algorithm in the early identification and prompt intervention of EP and HP bypassing the catastrophic morbidity associated with delayed diagnosis
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