title: Can ratio of blood/curettage material HCG be used as a reliable method for differentiating miscarriage and ectopic pregnancy?
abstract: Objective : There is an increasing rate of ectopic pregnancy with the use of assisted reproductive techniques. There is currently no serum test to differentiate ectopic pregnancy from miscarriage. Early and accurate detection of ectopic pregnancy may prevent the development of complications. The aim of this study was whether the ratio of serum/curettage material hCG could provide us with reliable and early diagnosis in distinguishing miscarriage and ectopic pregnancies and also to measure the diagnostic accuracy rate of this method.
  
  
  METHODS
  A total of 24 patients were evaluated. Twelve of them were diagnosed as an ectopic pregnancy and 12 of them were diagnosed as a miscarriage. All the patients' diagnoses were confirmed pathologically. Non-of the patient had viable fetus. All participants underwent curettage protocol. Serum and curettage material were obtained at the same time. HCG measurements were done from blood and curettage material.
  
  
  RESULTS
  Ratio of Blood/Curettage Material HCG provides fast and reliable results within a few hours with 91.7% accuracy rates.
  
  
  CONCLUSIONS
  Ratio of blood/curettage material HCG can be used as a reliable method for differentiating ectopic pregnancy and miscarriage.
authors.affiliation: Gokhan Acmaz, MD, Assistant Professor, Dept. of Obstetrics and Gynecology, Kayseri Training and Education Hospital of Medicine, Kayseri, Turkey.
authors.forename: Gokhan
authors.initials: G
authors.lastname: Acmaz
authors.affiliation: Huseyin Aksoy, MD, Dept. of Obstetrics and Gynecology, Kayseri Military Hospital Kayseri, Turkey.
authors.forename: Huseyin
authors.initials: H
authors.lastname: Aksoy
authors.affiliation: Evrim Bayraktar, PhD, Assistant Professor, Dept. of Gynecology and Obstetric Nursing, Erciyes University Faculty of Medicine, Kayseri, Turkey.
authors.forename: Evrim
authors.initials: E
authors.lastname: Bayraktar
authors.affiliation: Muruvvet Baser, PhD, RN. (Head of Department), Associate Professor Dept. of Gynecology and Obstetric Nursing, Erciyes University Faculty of Medicine, Kayseri, Turkey.
authors.forename: Muruvvet
authors.initials: M
authors.lastname: Baser
authors.affiliation: Gokmen Zararsiz, Department of Biostatistics, Erciyes University Faculty of Medicine, Kayseri, Turkey.
authors.forename: Gokmen
authors.initials: G
authors.lastname: Zararsiz
authors.affiliation: Dr. Iptisam Ipek Muderris, Professor and Head, Dept. of Obstetrics and Gynecology, Erciyes University Faculty of Medicine, Kayseri, Turkey.
authors.forename: Iptisam
authors.initials: I
authors.lastname: Ipek Muderris
keywords: Beta-hCG; Curettage; Ectopic pregnancy; Miscarriage