Pronóstico reproductivo posterior a un embarazo ectópico según modalidad de tratamiento

Silva G., María Carolina; Errázuriz V., Joaquín; Urzúa V., María José; Sumar U., Francisco; Troncoso R., Fernando; Rondini F.-D., Carlos; Insunza F., Alvaro
July 2014
Revista Chilena de Obstetricia y Ginecología;2014, Vol. 79 Issue 4, p262
Academic Journal
Introduction: It is estimated that 20-60% of patients with ectopic pregnancy, will develop infertility on the future, but knowledge about this matter is scarce. Aims: To compare fertility rates after ectopic pregnancy, among medical treatment with methotrexate and surgery, in patients without opportunity for assisted reproductive techniques. Methods: Retrospective cohort study of patients diagnosed with ectopic pregnancy, treated in Hospital Padre Hurtado's gynecology service, Santiago -- Chile, between January 2002 and December 2007. Patients with cervical or cornual ectopic pregnancy, expectant management, or patients, who didn't want future pregnancies, were excluded from the analysis. Follow up was for at least 4 years. Results: 288 ectopic pregnancies were diagnosed; 69 patients were excluded. From the 219 participants, 193 cases (88.1%) with complete follow, were included for analysis. Surgical management, which consisted of salpingectomy of the compromised tube, was done on 128 patients. Medical management was done on 65 patients, but 18 patients required differed salpingectomy for treatment failure. Excluding those 18 patients, the pregnancy rates for the surgical management group was of 83.6% (107/128) and 80.9% (38/47) for the medical management group, not statistically significant (p=0.67). Conclusion: There are similar pregnancy rates for surgical and medical management for patients with ectopic pregnancy history; although these were higher than those reported in literature.


Related Articles

  • Ectopic Pregnancy.  // Diseases & Disorders: A Nursing Therapeutics Manual, 3rd edition;2007, p307 

    The article presents a nursing guide to ectopic pregnancy. It discusses the causes, assessment, diagnosis and treatment of the disease. It describes the genetic, racial and ethnic characteristics of the people most susceptible to this disease. Guidelines for independent nursing interventions,...

  • Predictors of Success of Methotrexate Treatment in Women with Tubal Ectopic Pregnancies. Lipscomb, Gary H.; McCord, Marian L.; Stovall, Thomas G.; Huff, Genelle; Portera, S. Greg; Ling, Frank W. // New England Journal of Medicine;12/23/99, Vol. 341 Issue 26, p1974 

    Background: The use of methotrexate for the treatment of women with tubal ectopic pregnancies is now common practice. However, the clinical and hormonal determinants of the success of this treatment are not known. Methods: We studied 350 women with tubal ectopic pregnancies who were treated with...

  • Is D&C always necessary to diagnose ectopic pregnancy?  // Contemporary OB/GYN;Dec2003, Vol. 48 Issue 12, p97 

    The article presents the responses of readers on the need for dilatation and curettage (D&C) of the uterus to diagnose ectopic pregnancy. A reader says selected patients can benefit from methotrexate without undergoing D&C. Another reader says D&C is not a treatment for tubal ectopics.

  • The Value of Hysterosalpingography following Medical Treatment with Methotrexate for Ectopic Pregnancy. Grau, Emma Garcia; Vizcaı´no, Miguel A´ ngel Checa; Oliveira, Ma´rio; Juan´ os, Judith Lleberia; Collado, Ramon Carreras; Estevez, Yolanda Canet // Obstetrics & Gynecology International;2011, Vol. 2011, p1 

    After an ectopic pregnancy (EP) fertility decreases, mostly due to tubal factor. Hysterosalpingography (HSG) is the most costeffective tool for tubal patency assessment. Objective. To evaluate the usefulness of a HSG after a medical treatment for an EP, in order to counsel women on the most...

  • PRACTICE: EASILY MISSED? Ectopic pregnancy. Al-Jabri, Sheikha; Malus, Michael; Tulandi, Togas // BMJ: British Medical Journal (Overseas & Retired Doctors Edition;8/14/2010, Vol. 341 Issue 7768, p344 

    The article presents information on ectopic pregnancy. It describes the case of a 33-year-old woman who presented to the emergency department with a five day history of low abdominal pain. Identified factors contributing to misdiagnosis include failure to consider a possible pregnancy, failure...

  • Interstitial ectopic pregnancy: A rare and difficult clinicosonographic diagnosis. Rastogi, R.; Meena, G. L.; Rastogi, N.; Rastogi, V. // Journal of Human Reproductive Sciences;Jul-Dec2008, Vol. 1 Issue 2, p81 

    Ectopic pregnancy in the interstitial part of the fallopian tube is a rare event. This condition presents a challenge for clinical as well as radiological diagnosis. Although routine two-dimensional ultrasound can be suggestive, three-dimensional ultrasound is highly accurate in diagnosis....

  • Management of extra-tubal and rare ectopic pregnancies: case series and review of current literature. Oliver, R.; Malik, M.; Coker, A.; Morris, J. // Archives of Gynecology & Obstetrics;Sep2007, Vol. 276 Issue 2, p125 

    Management of extra-tubal ectopic gestations remains an inadequately explored clinical field due to the rarity of the presentations. We present a synopsis of the management highlighted by our personal case series. A literature search was conducted through Pubmed and Medline databases. We...

  • extrauterine pregnancy. Peters, Michael // BMA A-Z Family Medical Encyclopedia;2004, p289 

    A definition of the term "extrauterine pregnancy" is presented. It is an alternative term for an ectopic pregnancy.

  • Pregnancy of unknown location. Boshoff, I. // Obstetrics & Gynaecology Forum;May2010, Vol. 20 Issue 2, p59 

    The article focuses on the pregnancy of unknown location (PUL). It describes diagnostic tests for PUL including transvaginal ultrasound examination (TVS), serum human chorionic gonadotropin (s-hCG), and progesterone concentration. It discusses possible distribution sites of ectopic pregnancies...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics