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Reproductive performance following a second ectopic gestation
Author(s) -
Glock J.L.,
Loy R.A.,
Brumsted J.R.
Publication year - 1993
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/0020-7292(93)90328-t
Subject(s) - gestation , medicine , ectopic pregnancy , obstetrics , pregnancy , gynecology , biology , genetics
OBJECTIVES: Our purpose was to determine the obstetric outcome following a second ectopic gestation in women actively trying to conceive, with a review of the literature. METHODS: Charts of 37 patients coded for having at least two ectopic pregnancies between 1986 and 1989 were reviewed. Duration of follow‐up ranged from 7 months to 7 years with a mean follow‐up time of 25 months. RESULTS: We report a 45.4% intrauterine pregnancy rate, 27.3% live birth rate, and 36.4% recurrent ectopic pregnancy rate. Review of the literature shows an intrauterine pregnancy rate of 26–50%, live birth rate of 25–31.2%, and recurrent ectopic pregnancy rate of 7.7–40%. CONCLUSIONS: Four of five studies report the risk of a third ectopic gestation is less than an intrauterine gestation. This may prove helpful in counceling patients with a history of recurrent ectopic gestation in choosing IVF or attempting conception naturally.