Factors that may predispose to rupture of tubal ectopic pregnancy

Ρούσσος, Δαυίδ; Panidis, Dimitrios; Matalliotakis, Ioannis; Mavromatidis, Georgios; Neonaki, M; Mamopoulos, M.; Koumantakis, E.

doi:10.1016/s0301-2115(99)00188-8

Cited by 21 publications

(20 citation statements)

References 6 publications

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“…Similar risk factors were noted in various other studies 12 . Roussos D et al in their study observed that rupture of the tube is more often observed in women with a history of ectopic pregnancy and in women with full-term pregnancy 16 . The commonest presenting complaints were abdominal pain, amenorrhea and abnormal vaginal bleeding.…”

Section: Discussionmentioning

confidence: 94%

A Clinical Study of Ectopic Pregnancies in a Tertiary Care Hospital of Chittagong, Bangladesh

Yeasmin

Uddin

Hasan

2014

Chatt Maa Shi Hosp Med Coll J

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Background: Motherhood, an eternal, universal and inherent dream which every woman has. This dream may not always be pleasant and it can involve nightmares. One of this is ectopic pregnancy: A pregnancy which can be life threatening. Aims : 1. To know the age group, parity, gestational age and the risk factors with re-spect to the ectopic pregnancy. 2. To know the clinical presentation of the ectopic pregnancy. 3. To know the treatment and morbidity and mortality associated with ectopic pregnancy. Materials & methods : A total of 47 admitted patients who were di-agnosed as ectopic pregnancy cases were retrospective analyzed between the periods from January 2013 to June 2014 at Chattagram Maa-O-Shishu Hospital Medical College, Agrabad, Chittagong. The following parameters: age, parity, gestational age, risk factors, clinical presentation, need for blood transfusion and findings on ultrasonogram and at surgery and morbidity associated with ectopic pregnancy were noted Results: The incidence of the ectopic pregnancy in the pres-ent study was 7.4/1000 deliveries. A majority of the cases were multigravidas and majority of the cases gestational age were six to ten weeks. In most of the cases, there were no identifiable risk factors. The commonest risk factors present were history of MR (12.7 %)and abortion (10.6), history of tubal surgery (2.2%), infertility (2.2%) and pelvic inflammatory diseases (4.2%).The commonest symptoms were abdominal pain (89.3%), amenorrhea (78.7%) and abnormal vaginal bleeding (63.5%); and commonest signs were abdominal tenderness (70.5%), cervical excitation (52.6%) and adnexal tenderness (50.4%). Almost half (45%) were in a state of shock at admission. Ultrasound, a urine pregnancy test and serum B-hCG were the investigative modalities which were used. Surgery by open method in the form of salpingectomy (92.3%), salpingo-oophorectomy (5.5%) and salpingostomy (2.1%) were the mainstay of management. Morbidity included anemia (50.9%), blood transfusion (78%) and wound infection (2.1%). No maternal mortality noted. Conclusion: Early diagnosis, identifying of underlying risk factors and timely intervention in the form of conservative or surgical treatment will help in reducing the morbidity and mortality associated with ectopic pregnancy.

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Section: Discussionmentioning

confidence: 94%

A Clinical Study of Ectopic Pregnancies in a Tertiary Care Hospital of Chittagong, Bangladesh

Yeasmin

Uddin

Hasan

2014

Chatt Maa Shi Hosp Med Coll J

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“…Although it has long been recognized that ectopic pregnancies account for signifi cant morbidity and mortality, no studies have shown a clear association between ␤ -human chorionic gonadotropin ( ␤ hCG) level and the likelihood of rupture [1][2][3][4] . Mortality associated with ectopic pregnancy remains the leading cause of death for women in the fi rst trimester of pregnancy and makes up 13% of all maternal deaths [5] .…”

Section: Introductionmentioning

confidence: 99%

Risk Factors Associated with the Rupture of Tubal Ectopic Pregnancy

Latchaw

Takács

Gaitan

et al. 2005

Gynecol Obstet Invest

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Objective: To identify risk factors that may lead to the rupture of ectopic pregnancies. Study Design: A retrospective chart review was performed on patients with ectopic pregnancies at the University of Miami/Jackson Memorial Hospital between 1/1/1995 and 3/1/2002. 738 patients were identified with ectopic pregnancies. Women with tubal rupture were compared to those without rupture. Variables analyzed were demographic data, patient-related risk factors (history of pelvic surgery, bilateral tubal ligation, history of pelvic inflammatory disease, previous ectopic pregnancy, intrauterine device use) and β-human chorionic gonadotropin (βhCG) measurement. Results: There were 439 (59%) cases with a ruptured and 299 (41%) cases with an unruptured ectopic pregnancy. Multivariate logistic regression analysis revealed that previous ectopic pregnancy (OR 2.88; 95% CI 1.92, 4.33) and βhCG level ≧5,000 mIU/ml (OR 1.85; 95% CI 1.12, 3.06) were the only significant risk factors for tubal rupture. Conclusion: Patients with βhCG levels ≧5,000 mIU/ml and patients with a history of a previous ectopic pregnancy are significantly more likely to experience a tubal rupture.

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“…Roussos D et al 27 in their study observed that rupture of the tube is more often observed in women with a history of ectopic pregnancy and in women with full-term pregnancy.…”

Section: Discussionmentioning

confidence: 93%