A Hospital based analysis of 71 cases of ectopic pregnancies, Risk factors and management- Retrospective Observational study

A Hospital based analysis of 71 cases of ectopic pregnancies, Risk factors and management : Original Article

Abstract

Background and Objectives: Evaluation of some risk factors and management of all ectopic pregnancies during 5 years period.
Subjects and methods: During 5 years period risk factors such as pelvic inflammatory disease, tubal ligation, presence of intrauterine device, tubal surgery, prior ectopic pregnancy, female factor infertility and using medical or others treatments for infertility, the anatomic implantation portion of ectopic pregnancy and the treatment modality of all known cases of ectopic pregnancies were evaluated.
Results: The mean age of the study group was 28.69 ± 6.417.Among 71 cases of ectopic pregnancies there were 20 cases (28/16%) with history of infertility and infertility was the most common risk factor. The most common anatomic portion of ectopic pregnancy during surgery was ampulla in 39 cases (79.59%). Twenty two cases (30.98%) were treated with methotrexate and surgical treatments were used for 49 cases (69.02%).
Conclusion: Infertility was the strongest risk factor, ampulla portion was the common anatomic portion and surgical route (laparotomy) was the preferred treatment modality of ectopic pregnancies in this study.