searching PubMed for... ectopic pregnancy

Salve a tutti!
quanto tempo! è un po' che non scrivo, scusate ma avevo parecchie di cose da sbrigare...
In questi ultimi giorni mi sono messa a curiosare in PubMed dopo essermi guardata un po' di video tuturial dato che il sito di ricerca di PubMed oltre ad essere praticamente sconfinato non è proprio semplicissimo, almeno a primo impatto... ma devo dire che mi sembra già di averci preso la mano e tra ieri e oggi ho letto un sacco di cose intaressanti.

http://http://www.ncbi.nlm.nih.gov/pubmed//

Come ci ha consigliato il prof vi rendo partecipi di una delle mie ricerche.
Dato che l'argomento mi sembrava molto interessante sono andata a guardare vari articoli sulla gravidanza extrauterina della quale, lo ammetto, sono venuta a conoscenza solo un annetto fa e, aimè, guardando Doc. House...
La gravidanza è definita extrauterina quando l'annidamento avviene al di fuori dell'utero e a seconda delle sue sedi viene definita come tubarica, ovarica o addominale. In questultimo caso l'impianto avviene nella cavità peritoneale o a livello degli organi addominali.
A riguardo vi riporto dei pezzi interessanti che ho trovato in pubmed tra centinaia di articoli su questo tema:

BACKGROUND: Abdominal pregnancy is a rare condition that is potentially life-threatening for the mother. CASE: A 29-year-old woman presented with abdominal pain at 17 weeks of pregnancy. An ultrasound scan demonstrated an active abdominal pregnancy. MRI was used for placental localization. After discussion with the woman, it was decided to proceed to termination of the pregnancy.[...]

In two recent consecutive cases of abdominal pregnancy the diagnosis was made at 18 weeks' gestation, and the patients refused immediate surgery and elected to maintain the pregnancy until fetal viability developed. Both patients were managed expectantly with continuous antepartum hospitalization. Fetal assessment was by serial ultrasound assessment of growth and amniotic fluid volume and by nonstress testing. Planned operative delivery was accomplished at 28 1/2 weeks and 33 weeks' gestation. In the second case the diagnosis was confirmed by magnetic resonance imaging. That fetus was also assessed with umbilical artery Doppler flow studies. Despite significant morbidity, both the mothers and infants are alive and well.

A conservative management may be proposed when the diagnosis is made after 20 weeks and under the following conditions: absence of fetal growth malformation, placental implantation remote from the upper abdomen, good maternal condition, close management in a hospital setting of the patient previously informed of the risks and outcomes. Placental location on the uterus seems to be a major positive factor of outcome for these pregnancies. Materno-fetal follow-up is based on physical examination, repeated ultrasonic investigations with Doppler imaging and daily fetal heart rate monitoring. In the absence of complications, a laparotomy should be planned at 34 weeks. The placenta may not be removed when a serious risk of hemorrhage is feared [...]