IMR Press / CEOG / Volume 46 / Issue 6 / DOI: 10.12891/ceog4891.2019
Open Access Original Research
Clinical presentation, risk factors and management of ectopic pregnancy: a case-control study
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1 Department of Obstetrics and Gynecology, Târgu Mureș Emergency Clinical County Hospital, Mureș County, Romania
2 2nd Department of General Surgery, Târgu Mureș Emergency Clinical County Hospital, Mureș County, Romania
3 2nd Department of General Surgery, Târgu Mureș Emergency Clinical County Hospital, University of Medicine and Pharmacy, Târgu Mureș, Mureș County, Romania
4 Department of Obstetrics and Gynecology, Târgu Mureș Emergency Clinical County Hospital, University of Medicine and Pharmacy, Târgu Mureș, Mureș County, Romania
Clin. Exp. Obstet. Gynecol. 2019, 46(6), 914–919; https://doi.org/10.12891/ceog4891.2019
Published: 10 December 2019
Abstract

Purpose of Investigation: To evaluate risk factors in patients with ectopic pregnancy (EP), while emphasizing the clinical presentation and management. Materials and Methods: Eighty patients with EP were included in a retrospective case-control study between 2016-2017. Patient’s socio-demographic features and pathological background were assessed in relation to 150 patients with live vaginal deliveries, in order to determine the main risk factors for EP. Results: Tubal (95%) was observed, with right side (60%) preponderance of EP, associated with vaginal bleeding (80%) and leukocytosis (61.25%). Main identified risk factors were previous EP (OR = 11.79), cesarean section (OR = 11.31), cigarette consumption (OR = 7.47), history of laparotomy (OR = 7.28), and tubal damage (OR = 7.09). Most patients underwent laparoscopy (87.5%) associated with a shorter hospital admission (p = 0.0011). Conclusion: Considering the risk factors, the physician could establish an accurate diagnosis in less time, avoiding complications by performing a suitable surgical intervention.

Keywords
Ectopic pregnancy
Tubal
Cesarean
Laparotomy
Laparoscopy
Surgery
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