Short-term Reproductive Outcomes of Nulliparous Women with Previous Ectopic Pregnancy

被引:1
|
作者
Reis, Yildiz Akdas [1 ]
Varli, Erol Nadi [1 ]
Dereli, Murat Levent [1 ]
Aktas, Turkan Dikici [1 ]
Tolunay, Harun Egemen [1 ]
Erkaya, Salim [1 ]
机构
[1] Etlik Zubeyde Hanim Matern & Womens Hlth Teaching, Dept Obstet Gynaecol, Ankara, Turkey
关键词
Ectopic pregnancy; Nulliparity; Reproductive outcomes; Treatment modalities; Expectant management; MEDICAL-TREATMENT; UNITED-STATES; METHOTREXATE; DIAGNOSIS; MORTALITY; RISK; AGE;
D O I
10.29271/jcpsp.2022.08.987
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: To determine the characteristics and subsequent pregnancy outcomes in patients with a previous ectopic preg-nancy (EP). Study Design: Descriptive-cross sectional study. Place and Duration of Study: Department of Obstetrics-Gynaecology, Etlik Zubeyde Hanim Maternity and Women's Health Teaching and Research Hospital, Ankara, Turkey, between January 2014 and December December 2018. Methodology: The data of nulliparous patients diagnosed with tubal ectopic pregnancy (EP) was analysed retrospectively. Reproductive outcomes within the first two years after ectopic pregnancy diagnosis were used as "short-term" reproductive outcomes. Their EP treatment and pregnancy outcome were determined. Results: Expectant management was chosen in 5.8% of the patients, while the surgical intervention was 32.3%. Medical therapy involving methotrexate (MTX) was given to the remaining patients (61.9%). The tubal rupture was confirmed in 12% of the cases that received MTX. In the 2-year follow-up period after the ectopic event, the most common outcome of the subse-quent pregnancies was a live birth (47.7%). Recurrent EP occurred in 4.6%. Conclusion: The subsequent short-term pregnancy outcomes in this study were not related to the chosen treatment modality.
引用
收藏
页码:987 / 990
页数:4
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