Recurrent ectopic pregnancies: analysis of risk factors of thirteen patients

Abstract

AimA prior ectopic pregnancy increases the risk of consequent ectopic preg-nancies. In this study risk factors and treatment modalities of recurrent ec-topic pregnancies were analyzed in a tertiary hospital setting.MethodsBetween January 2006 and December 2008, 13 recurrent ectopic pregnancies were retrospectively evaluated for demographic features, risk factors and treatment modalities. One year after the last ectopic pregnancy, patients were called back for their reproductive outcomes.ResultsTen out of 13 patients (76.9 %) were second repeat ectopic and 3 ( 23.1%) were third repeat ectopic pregnancies. Five patients had miscarriages after previ-ous ectopic pregnancies and these patients were performed uterine curret-tage after miscarriages. Eleven out of 13 patients (84.6%) were treated with surgical approach. Ten out of 11 patients (90,9%) had laparoscopic approach. One emergent laparotomy was performed for a patient in the third repeat ectopic group. Salpingostomy was performed for the four patients in the second repeat ectopic pregnancy group. Salpingectomy was the only technique for all three patients in third repeat ectopic group and also for the four patients in second repeat ectopic group. There were no pregnancies among these 13 patients one year after the ectopic attacks. None of the patients were intrauterine device user, only one patient was smoker, and one patient had experienced a previous pelvic inflammatory disease.ConclusionRisk factors for recurrent ectopic pregnancy were previous miscarriages and uterine currettages. Second repeat ectopic pregnancy was better to be man-aged with salpingostomy by laparoscopic approach for the future fertility expectations.

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