Reproductive outcomes following a ruptured ectopic pregnancy

Barry E. Perlman, Kerly Guerrero, Ruchi Karsalia, Debra S. Heller

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: To determine the effect of ruptured ectopic pregnancies on the rate of future intrauterine pregnancies. Materials and Methods: This was a retrospective study of patients at a University-affiliated hospital with a history of an ectopic pregnancy between January 1991 to December 2016. All patients that underwent a salpingectomy for a tubal ectopic pregnancy were considered for this study. Intrauterine pregnancy rates for patients with a history of a ruptured ectopic pregnancy were compared to those with non-ruptured ectopic pregnancies. Fisher’s exact test was used for analysis. Results: During the study period, 77 patients met the inclusion criteria. In this cohort, 14 patients with a history of a tubal ruptured ectopic pregnancy had achieved pregnancy within 12 months, compared to 24 patients in the non-ruptured group (52% vs 48%, p = 0.81). The rate of intrauterine pregnancies, compared to repeat ectopic pregnancy, in both the ruptured and non-ruptured group, was 71% (p > 0.99). Conclusion(s): Ruptured ectopic pregnancies did not adversely affect the rate of intrauterine pregnancy within 12 months of rupture when compared to non-ruptured ectopic pregnancies.

Original languageEnglish (US)
JournalEuropean Journal of Contraception and Reproductive Health Care
DOIs
StateAccepted/In press - Jan 1 2020

All Science Journal Classification (ASJC) codes

  • Reproductive Medicine
  • Obstetrics and Gynecology
  • Pharmacology (medical)

Keywords

  • Fertility outcomes
  • maternal outcomes
  • salpingectomy
  • tubal pregnancy

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