Factors influencing fertility outcome after ectopic pregnancy: a descriptive observational study
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20150099Keywords:
Ectopic pregnancy, SubfertilityAbstract
Background: Ectopic pregnancy is the commonest gynecological emergencies. If not treated timely, threatens the life but also places major morbidity on future fertility. This study performed to determine the future pregnancy outcomes following surgical management of ectopic pregnancy and factors influencing the outcome.
Methods: Prospective observational study conducted at Tertiary Hospital. Records of patients with ectopic pregnancy between 2005 to 2010 traced, interviewed about fertility outcomes and the risk factors using a structured questionnaire. Patients followed for 3 years from index ectopic pregnancy. The main outcome measure was the occurrence of intrauterine pregnancy or ectopic pregnancy at 3 years of follow-up after the index ectopic pregnancy.
Results: 64 patients with primary ectopic formed the basis of the study. 84.37% of patients undergone radical surgery (salpingectomy) and 15.62% forming the conservative group (Salpingotomy/milking) were included. In 3 years follow up, 40% of conservative group and 59% of radical group had intrauterine pregnancy. 30% in conservative group and 46% of radical group had term delivery. 20% of conservative group and 18.51% in radical group had repeated ectopic. Incidence of term delivery in patients with the past history of sub fertility was 25% and without subfertility 46%. 17% with tubal pathology and 63% with normal tube had term pregnancy. 37% aged more than 30 years and 44.64% aged less than 30 years had term pregnancy.
Conclusions: Subfertility, tubal pathology and age will influence on future fertility outcome following ectopic pregnancy. Radical or conservative surgery does not have influence on future pregnancy outcome.
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