Short-term Reproductive Outcomes of Nulliparous Women with Previous Ectopic Pregnancy
Journal of the College of Physicians and Surgeons Pakistan, cilt.32, sa.8, ss.987-990, 2022 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 32 Sayı: 8
- Basım Tarihi: 2022
- Doi Numarası: 10.29271/jcpsp.2022.08.987
- Dergi Adı: Journal of the College of Physicians and Surgeons Pakistan
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CAB Abstracts, EMBASE, MEDLINE, Veterinary Science Database
- Sayfa Sayıları: ss.987-990
- Anahtar Kelimeler: Ectopic pregnancy, Nulliparity, Reproductive outcomes, Treatment modalities, Expectant management
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: To determine the characteristics and subsequent pregnancy outcomes in patients with a previous ectopic pregnancy (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 subsequent 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.