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Reproductive performance following a second ectopic gestation

J L Glock1, R A Loy, J R Brumsted

  • 1Department of Obstetrics and Gynecology, University of Vermont College of Medicine, Burlington 05405.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|November 1, 1993
PubMed
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Women with a history of two ectopic pregnancies have a good chance of a successful intrauterine pregnancy. The risk of a third ectopic pregnancy is generally lower than that of an intrauterine pregnancy.

Area of Science:

  • Reproductive Medicine
  • Obstetrics and Gynecology

Background:

  • Recurrent ectopic pregnancies pose significant risks to women's reproductive health.
  • Understanding obstetric outcomes after a second ectopic pregnancy is crucial for patient counseling.

Purpose of the Study:

  • To determine the obstetric outcomes for women actively trying to conceive after experiencing a second ectopic pregnancy.
  • To compare these outcomes with existing literature on recurrent ectopic pregnancies.

Main Methods:

  • Retrospective chart review of 37 patients with at least two ectopic pregnancies (1986-1989).
  • Follow-up duration ranged from 7 months to 7 years (mean 25 months).

Main Results:

  • The study observed an intrauterine pregnancy rate of 45.4% and a live birth rate of 27.3%.

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  • The recurrent ectopic pregnancy rate in this cohort was 36.4%.
  • Literature review indicated intrauterine pregnancy rates of 26-50%, live birth rates of 25-31.2%, and recurrent ectopic pregnancy rates of 7.7-40%.
  • Conclusions:

    • The risk of a third ectopic pregnancy appears to be lower than the risk of an intrauterine pregnancy in most cases.
    • Findings can aid in counseling patients with recurrent ectopic pregnancies regarding conception methods, including in vitro fertilization (IVF) versus natural conception.