IMR Press / CEOG / Volume 43 / Issue 6 / DOI: 10.12891/ceog3114.2016

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Original Research
Rupture risk factors of fallopian tubal pregnancy
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1 Department of Obstetrics and Gynecology, ASO Iizuka Hospital, Iizuka, Fukuoka (Japan)
Clin. Exp. Obstet. Gynecol. 2016, 43(6), 800–802; https://doi.org/10.12891/ceog3114.2016
Published: 10 December 2016
Abstract

The present authors analyzed patients’ backgrounds and pre-surgical findings to clarify the risk factors of rupture of fallopian tubal pregnancy. The surgical findings 113 cases were clearly diagnosed as fallopian tubal pregnancy with or without rupture. Twenty-six cases of fallopian tubal pregnancy were ruptured and 87 cases were not ruptured at the time of operation. The risk factors of fallopian tubal rupture were assessed by Chi-square for independence test and multiple regression analysis. Obesity (BMI over 26), prior birth history, social welfare entitlement, ultrasonography findings of fetal heart movement, and pre-surgical serum beta-hCG level more than 3,000 mIU/ml patient were significantly higher risk in fallopian tubal rupture. Fertility treatment patient were at significantly lower risk for fallopian tubal rupture. Higher beta-hCG levels, especially >3,000 mIU/ml is associated with increased risk of fallopian tubal rupture in ectopic pregnancy.
Keywords
Ectopic pregnancy
Rupture
Serum beta-subunit human chorionic gonadotropin
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