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Pregnancy outcomes after surgical treatment of ovarian pregnancy
Author(s) -
Koo YuJin,
Choi HongJun,
Im KyongShil,
Jung HyunJoo,
Kwon YongSoon
Publication year - 2011
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/j.ijgo.2011.02.013
Subject(s) - medicine , pregnancy , ectopic pregnancy , ovarian pregnancy , obstetrics , infertility , endometriosis , gynecology , retrospective cohort study , pregnancy rate , surgery , genetics , biology
Objective To investigate pregnancy outcomes subsequent to ovarian pregnancy treated by surgery. Methods A retrospective analysis was conducted of ovarian pregnancies that were treated by surgery at a hospital in Korea between January 1996 and December 2009. Results Forty‐nine women with ovarian pregnancies (1.6% of all ectopic pregnancies) were treated; 28 of these patients who were followed‐up for more than a year were included in the study. The most common risk factor for ovarian pregnancy was endometriosis (42.9%). Accurate diagnosis of ovarian pregnancy was made preoperatively in 7 patients (25%). Of the 28 patients, 16 (57.1%) had subsequent pregnancies: 13 (46.4%) were intrauterine pregnancies and 3 (10.7%) were tubal pregnancies. However, no subsequent ovarian pregnancies occurred. In addition, only 1 patient had secondary infertility after surgery for ovarian pregnancy. Conclusions After an ovarian pregnancy treated by surgery, the outcome of a subsequent pregnancy is reasonable; there is a high rate of successful subsequent pregnancy and a low rate of subsequent ectopic pregnancy or of infertility.