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J Coll Physicians Surg Pak · Aug 2022
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, and Salim Erkaya.
- Department of Obstetrics-Gynaecology, Etlik Zubeyde Hanim Maternity and Women's Health Teaching & Research Hospital, <br> Ankara, Turkey.
- J Coll Physicians Surg Pak. 2022 Aug 1; 32 (8): 987-990.
ObjectiveTo determine the characteristics and subsequent pregnancy outcomes in patients with a previous ectopic pregnancy (EP).Study DesignDescriptive-cross sectional study.Place And Duration Of StudyDepartment of Obstetrics-Gynaecology, Etlik Zubeyde Hanim Maternity and Women's Health Teaching and Research Hospital, Ankara, Turkey, between January 2014 and December December 2018.MethodologyThe 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.ResultsExpectant 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%.ConclusionThe subsequent short-term pregnancy outcomes in this study were not related to the chosen treatment modality.Key WordsEctopic pregnancy, Nulliparity, Reproductive outcomes, Treatment modalities, Expectant management.
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