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Repeat ectopic pregnancy. A twenty-year hospital survey
Acta Obstetricia Et Gynecologica Scandinavica
|January 1, 1987
Summary
The incidence of repeat ectopic pregnancy rose from 7.0% to 10.4% between 1965-1984. Increased intra-uterine contraceptive device use was noted in later cases, with infertility a common history.
Area of Science:
- Reproductive Medicine
- Gynecology
- Obstetrics
Background:
- Ectopic pregnancy poses significant risks to women's reproductive health.
- Understanding repeat ectopic pregnancy is crucial for improving patient outcomes and prevention strategies.
Purpose of the Study:
- To analyze trends in repeat ectopic pregnancy incidence.
- To identify associated risk factors and outcomes in patients with recurrent ectopic pregnancies.
Main Methods:
- Retrospective study of 72 patients with repeat ectopic pregnancies between 1965 and 1984.
- Analysis of incidence rates, contraceptive device usage, history of infertility, and subsequent pregnancy outcomes.
Main Results:
- Repeat ectopic pregnancy incidence was 9.4% overall, increasing from 7.0% in the first decade to 10.4% in the second (p<0.025).
- Intra-uterine contraceptive device use rose from 0% to 30.4% in repeat cases between the decades.
- Infertility was a common history; 13 patients had 17 deliveries, with 4 full-term pregnancies in 24 potentially fertile women post-second ectopic pregnancy.
Conclusions:
- Repeat ectopic pregnancy incidence is increasing, potentially linked to changing contraceptive practices.
- Infertility is a significant factor in recurrent ectopic pregnancies.
- While challenging, successful full-term pregnancies are possible after repeat ectopic pregnancy.