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

Yildiz Akdas Reis, Erol Nadi Varli, Murat Levent Dereli, Turkan Dikici Aktas, Harun Egemen Tolunay, Salim Erkaya

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP 2022 Aug

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To determine the characteristics and subsequent pregnancy outcomes in patients with a previous ectopic pregnancy (EP). Descriptive-cross sectional 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. 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. 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%. The subsequent short-term pregnancy outcomes in this study were not related to the chosen treatment modality. Ectopic pregnancy, Nulliparity, Reproductive outcomes, Treatment modalities, Expectant management.

Citation

Yildiz Akdas Reis, Erol Nadi Varli, Murat Levent Dereli, Turkan Dikici Aktas, Harun Egemen Tolunay, Salim Erkaya. Short-term Reproductive Outcomes of Nulliparous Women with Previous Ectopic Pregnancy. Journal of the College of Physicians and Surgeons--Pakistan : JCPSP. 2022 Aug;32(8):987-990