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Ectopic pregnancy: current clinical trends.

J D Kitchin, R M Wein, W C Nunley

    American Journal of Obstetrics and Gynecology
    |August 15, 1979
    PubMed
    Summary
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    Ectopic pregnancy remains a significant gynecologic issue. This study found that women with ectopic pregnancies have a poor prognosis for future fertility and term pregnancies.

    Area of Science:

    • Gynecology
    • Reproductive Medicine
    • Obstetrics

    Background:

    • Ectopic pregnancy is a significant cause of maternal morbidity.
    • Understanding long-term fertility outcomes is crucial for patient counseling.

    Purpose of the Study:

    • To evaluate the incidence of ectopic pregnancy.
    • To assess subsequent conception and term pregnancy rates in women previously diagnosed with ectopic pregnancy.

    Main Methods:

    • Retrospective review of 191 ectopic pregnancy cases managed between 1962 and 1978.
    • Analysis of patient follow-up data for subsequent conceptions and pregnancies.

    Main Results:

    • Overall incidence of ectopic pregnancy was 1/126 deliveries, increasing to 1/60 in the final 3 years.

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  • Only 56 patients achieved subsequent conception.
  • 36 women (23.7%) had term pregnancies, and 13 experienced recurrent ectopic implantation.

    • Conclusions:

    • Ectopic pregnancy presents a substantial gynecologic challenge.
    • The potential for successful subsequent fertility after an ectopic pregnancy is limited.