Heterotopic pregnancy

Smith, Robert P.

doi:10.1016/0002-9378(83)90944-4

Cited by 4 publications

(3 citation statements)

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“…Unfortunately, the estimated amount of hemoperitoneum cannot be directly compared in our study since the data were missed in half of patients with tubal rupture. The survival rate of intrauterine fetuses was 35-54% in earlier literature on heterotopic pregnancy [10] . However, the overall outcome for surviving fetuses after a heterotopic pregnancy seems to have improved recently (66.2%) [7,8] .…”

Section: Discussionmentioning

confidence: 78%

Clinical Outcomes of Tubal Heterotopic Pregnancy: Assisted vs. Spontaneous Conceptions

Han

Jee²,

Suh³

et al. 2007

Gynecol Obstet Invest

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Background: It has not been established whether the clinical outcomes of tubal heterotopic pregnancy resulting from assisted conception are different to those of spontaneous conception. The aim of this study was to compare the clinical course and the outcome of intrauterine gestation following surgical treatment for tubal heterotopic pregnancy according to the method of pregnancy. Methods: Medical records of 13 cases of tubal heterotopic pregnancy experienced in Seoul National University Hospital during 1990–2004 and 30 case reports of tubal heterotopic pregnancy published in the Korean Journal of Obstetrics and Gynecology during 1980–2004 were reviewed retrospectively. The clinical outcomes were compared between the assisted (n = 23) and spontaneous conception groups (n = 20). Results: The assisted conception group had a significantly higher preoperative systolic blood pressure and a previous history of pelvic pathology. The spontaneous group had a higher incidence of tubal rupture and hemoperitoneum. The assisted conception group had a higher live birth rate than the spontaneous group (47.8 vs. 20%, p = 0.056). Conclusions: In tubal heterotopic pregnancy, the assisted conception group had a more favorable clinical course and intrauterine gestation outcome following surgical treatment when compared with the spontaneous conception group.

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Section: Discussionmentioning

confidence: 78%

Clinical Outcomes of Tubal Heterotopic Pregnancy: Assisted vs. Spontaneous Conceptions

Han

Jee²,

Suh³

et al. 2007

Gynecol Obstet Invest

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“…The survival rate of the intrauterine pregnancy has risen from 35-54% in 1970 (20) to 66% of live intrauterine pregnancies mainly treated by surgery in recent times (8). This improvement is probably due to diagnostic and treatment developments and the closer follow-up of women conceiving after ART (12,15).…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Heterotopic Pregnancy With Live Infant: Report Of Two Cases

At²,

De³

et al. 2009

E Af Med Jrnl

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SUMMARYHeterotopic pregnancy is a potentially fatal condition that rarely occurs in natural conception cycles. We report two cases diagnosed within one month in a 20 year old gravida 3, para 0+2 without any known risk factor and a 38 year old gravida 12, para 6+5 with risk factors. The ectopic pregnancies were diagnosed after rupturing at 10 and 17 weeks respectively and resected via laparotomies. The courses of the intrauterine pregnancies were uneventful and both clients delivered vaginally at term. Heterotopic pregnancy is an important differential diagnosis to consider in clients with intrauterine pregnancies presenting with acute abdominal pain and haemoperitoneum.

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“…The survival rate of the intrauterine pregnancy has risen from 35-54% [19] to 66% [4] in a recent series of 139 live intrauterine pregnancies mainly treated surgically. Finally a smaller study [9] stated that 80% of intrauterine pregnancies resulting in live births was probably due to diagnostic and treatment developments and the closer follow-up provided to women conceiving with assisted reproduction techniques.…”

Section: Discussionmentioning

confidence: 99%

A Case of Heterotopic Pregnancy in the Absence of Risk Factors

Anastasakis¹,

Jetti

Macara

2007

Fetal Diagn Ther

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Objective: To reinforce the risk of heterotopic pregnancy in a natural cycle when intrauterine pregnancy and abdominal pain co-exist. Method: A single case report with a literature review. Results: Our case was associated with significant haemorrhage, laparotomy and salpingectomy. The obstetric outcome was favourable in this case. The literature review demonstrates the diagnostic difficulties as well as treatment options. Conclusions: Sonographic diagnosis of a heterotopic pregnancy is not always possible. Patients with abdominal pain and intrauterine pregnancy should heighten the clinician’s suspicion of a heterotopic pregnancy.

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Heterotopic pregnancy

Cited by 4 publications

References 0 publications

Clinical Outcomes of Tubal Heterotopic Pregnancy: Assisted vs. Spontaneous Conceptions

Clinical Outcomes of Tubal Heterotopic Pregnancy: Assisted vs. Spontaneous Conceptions

Spontaneous Heterotopic Pregnancy With Live Infant: Report Of Two Cases

A Case of Heterotopic Pregnancy in the Absence of Risk Factors

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