Open AccessThe role of risk factors in the incidence and recurrence of ectopic pregnancy
Author(s) -
Cătălina Diana Stănică,
Bucharest Pharmacy,
Adrian Neacşu,
RominaMarina Sima,
Raluca Gabriela Ioan
Publication year - 2021
Publication title -
romanian medical journal
Language(s) - English
Resource type - Journals
eISSN - 2069-606X
pISSN - 1220-5478
DOI - 10.37897/rmj.2021.1.15
Subject(s) - ectopic pregnancy , medicine , laparotomy , pelvic inflammatory disease , incidence (geometry) , obstetrics , laparoscopy , obstetrics and gynaecology , pregnancy , risk factor , disease , prospective cohort study , gynecology , surgery , genetics , physics , optics , biology
The increase in the incidence of ectopic pregnancy in the last 20 years, with the serious compromise of the woman's obstetric future and the life-threatening complications caused by it, makes ectopic pregnancy a very current problem, frequently encountered in Obstetrics-Gynecology clinics The aim of this study is to compare how risk factors and management can influence the incidence and the risk of recurrence of ectopic pregnancy. This paper presents a prospective case-control study for 65 patients, who have been diagnosed serologically and ultrasonically. In the present study, the most common risk factors involved were: pelvic inflammatory disease (46%), ectopic pregnancy (20%), smoking (85%), abortions (55%), and abdominal surgery (43%). In the group of patients studied, patients required surgical and medical treatment, and also a management of expectation. The risk factors that influence recurrence were smoking (100%), pelvic inflammatory disease (84.6%), abortions (53.8%), abdominal surgery (46%). By the type of surgery (laparoscopy or laparotomy), the risk of recurrence varies between 6 and 10% and does not seem to be influenced by it.