Effect of methotrexate treatment for ectopic pregnancy on current and subsequent pregnancy

Shirin Namouz-Haddad; Gideon Koren

doi:10.1007/978-3-319-11140-7_10

Effect of methotrexate treatment for ectopic pregnancy on current and subsequent pregnancy

Shirin Namouz-Haddad, Gideon Koren

Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review

Abstract

Methotrexate (MTX), a folic acid antagonist and DNA synthesis inhibitor in rapidly dividing cells, has been implicated in as a human teratogen, particularly when used in a high dose during the first trimester of pregnancy. Erroneous MTX treatment during pregnancy should prompt a thorough discussion and counseling of the patient regarding the risks of fetal exposure to MTX. Following MTX treatment, a 6-month interval before conception following the treatment should be advised. However, conception within less than 3–6 months subsequent to MTX treatment should not be considered as a definite indication for pregnancy termination.

Original language	English
Title of host publication	Ectopic Pregnancy
Subtitle of host publication	A Clinical Casebook
Pages	69-75
Number of pages	7
ISBN (Electronic)	9783319111407
DOIs	https://doi.org/10.1007/978-3-319-11140-7_10
State	Published - 1 Jan 2015
Externally published	Yes

Keywords

Aminopterin syndrome
Methotrexate embryopathy
Methotrexate toxicity
Teratogen

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10.1007/978-3-319-11140-7_10

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title = "Effect of methotrexate treatment for ectopic pregnancy on current and subsequent pregnancy",

abstract = "Methotrexate (MTX), a folic acid antagonist and DNA synthesis inhibitor in rapidly dividing cells, has been implicated in as a human teratogen, particularly when used in a high dose during the first trimester of pregnancy. Erroneous MTX treatment during pregnancy should prompt a thorough discussion and counseling of the patient regarding the risks of fetal exposure to MTX. Following MTX treatment, a 6-month interval before conception following the treatment should be advised. However, conception within less than 3–6 months subsequent to MTX treatment should not be considered as a definite indication for pregnancy termination.",

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Effect of methotrexate treatment for ectopic pregnancy on current and subsequent pregnancy

Abstract

Keywords

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