Clinical presentation, risk factors and management of ectopic pregnancy: a case-control study

Purpose of investigation: To evaluate risk factors in patients with ectopic pregnancy (EP), while emphasizing the clinical presentation and management. Materials and Methods: Eighty patients with EP were included in a retrospective case-control study between 2016-2017. Patient's socio-demographic features and pathological background were assessed in relation to 150 patients with live vaginal deliveries, in order to determine the main risk factors for EP. Results: Tubal (95%) was observed, with right side (60%) preponderance of EP. associated with vaginal bleeding (80%) and leukocytosis (61.25%). Main identified risk factors were previous EP (OR = 11.79), cesarean section (OR = 11.31), cigarette consumption (OR = 7.47), history of laparotomy (OR 7.28), and tubal damage (OR = 7.09). Most patients underwent laparoscopy (87.5%) associated with a shorter hospital admission (p= 0.0011). Conclusion: Considering the risk factors, the physician could establish an accurate diagnosis in less time, avoiding complications by performing a suitable surgical intervention.