Document Detail


Risk factors and clinical features of recurrent ectopic pregnancy: a case control study.
MedLine Citation:
PMID:  14667866     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To compare signs and symptoms between patients with recurrent and single ectopic pregnancies. DESIGN: Case-control study. SETTING: University medical center. PATIENT(S): Three hundred six women with single ectopic pregnancies and 61 women with recurrent ectopic pregnancies. INTERVENTION(S): None. MAIN OUTCOME MEASURE(S): Risk factors, historical factors, and findings at presentation that may predispose to recurrent ectopic pregnancy. RESULT(S): The risk of recurrent ectopic pregnancy was increased with a history of surgery, history of live birth, and history of spontaneous miscarriage and not with a history of gonorrhea, chlamydia, pelvic inflammatory disease, Caesarean section, or pregnancy termination. Patients with a recurrent ectopic pregnancy had a nonsignificant trend toward higher initial hCG values. The majority of ultrasounds in both groups were nondiagnostic on presentation. The patients with recurrent ectopic pregnancy were less likely to have bleeding on initial presentation, though both groups had similar complaints of pain. CONCLUSION(S): Secondary prevention of ectopic pregnancy is problematic because of the paucity of risk factors that can be modified to diminish the odds of recurrence. Clinicians' ability to both diagnose and counsel patients at risk for recurrent ectopic pregnancy can be optimized by awareness of the clinical features of this condition.
Authors:
Samantha Butts; Mary Sammel; Amy Hummel; Jesse Chittams; Kurt Barnhart
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Fertility and sterility     Volume:  80     ISSN:  0015-0282     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2003-12-11     Completed Date:  2004-01-21     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1340-4     Citation Subset:  IM    
Affiliation:
Center for Reproductive Medicine and Surgery, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania 19104, USA.
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MeSH Terms
Descriptor/Qualifier:
Abortion, Spontaneous / epidemiology
Case-Control Studies
Female
Gonorrhea / epidemiology
Humans
Pregnancy
Pregnancy, Ectopic / epidemiology*,  surgery
Recurrence
Risk Factors
Grant Support
ID/Acronym/Agency:
R01-HD-36455-01A1/HD/NICHD NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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