Outcomes after ectopic pregnancy ‘broadly reassuring’
Women with an initial ectopic pregnancy are no more likely to experience complications in a subsequent pregnancy than are first-time mothers, research shows.
This is in spite of a high chance of a repeat ectopic pregnancy, say Sohinee Bhattacharya (University of Aberdeen, Scotland, UK) and team in PLoS Medicine.
Although women with an initial ectopic pregnancy had an approximate twofold higher chance of another pregnancy within 2 years and after 6 years than women who experienced a live birth and those who experienced a termination, they were significantly less likely to have a second pregnancy than women who experienced an initial miscarriage.Related StoriesGlobal pregnancy and obstetrics researchers to work together on health opportunities in ChinaChildren of mothers with high levels of vitamin D in umbilical blood have fewer symptoms of ADHDPhysical activity during pregnancy may help protect offspring from age-related health risks
Compared with women who experienced initial live birth, miscarriage, and termination, women with an ectopic pregnancy were at a greater risk for experiencing another ectopic pregnancy, at hazard ratios of 13.0, 6.07, and 12.84, respectively.
However, women who fell pregnant after experiencing an ectopic pregnancy were no more likely to undergo perinatal complications including placenta previa, preeclampsia, placental abruption, preterm delivery, and low birthweight, than women with primigravida or those with a previous miscarriage or termination.
"The results of this study will help clinicians to counsel women with ectopic pregnancy - both at the time of initial diagnosis and treatment, as well as later when they attend for antenatal care," commented Sohinee Bhattacharya (University of Aberdeen, Scotland, UK) and team in a press statement.
They linked Scottish national data on all women whose first pregnancy occurred between 1981 and 2000 to records of a subsequent pregnancy.
A total of 2969 women had an initial ectopic pregnancy, 667,299 had a live birth, 39,705 miscarried, and 78,697 terminated their first pregnancies.
The authors say: "The reduced chance of a pregnancy and increased risk of a second ectopic following ectopic pregnancy indicates the need for a fertility follow-up in women who are keen to conceive."
The fertility follow up would include preconception care, advice to seek expert consultation should the woman wish to start a family, and consideration of an early pregnancy scan to confirm an intrauterine gestation, they explain.
"Overall, the results from this study are broadly reassuring in establishing that obstetric outcomes following ectopic pregnancy are no worse than those in women in their first pregnancy."Licensed from medwireNews with permission from Springer Healthcare Ltd. Springer Healthcare Ltd. All rights reserved. Neither of these parties endorse or recommend any commercial products, services, or equipment. cf9d6aa4-74fb-4652-8700-9e66a462dcc2|0|.0 Posted in: Medical Research News Tags: Consultation, Ectopic Pregnancy, Fertility, ObGyn, Placenta, Pre-eclampsia, Pregnancy Permalink | Comments (1) Advertisement Prior News Too much salt can damage blood vessels and lead to hypertension Next News Skin infections in AD patients linked to PMN impairment Read in | English | Español | Français | Deutsch | Portugu s | Italiano | 日本語 | 한국어 | 简体中文 | 繁體中文 | Nederlands | Русский | Svenska | Polski Suggested Reading Small RNA molecules could contribute to serious pregnancy complication, study findsMen can take contraceptives to prevent pregnancy in female partners, study showsReview examines impact of school-based interventions in preventing HIV, STIs and pregnancy in adolescentsCholine deficiency in sows during pregnancy impacts nutrient composition of milkExposure to allergens during pregnancy alters the brain makeup of fetuses and newborn ratsMaternal depression may affect child s brain development at critical stages in lifeStudy finds increased risk of pregnancy-associated stroke among young womenChildren of undernourished mothers more likely to suffer early aging of the heart Comments Ectopic pregnancy, fertility and obgyn Jean Claude Nkundabatware says: December 11, 2012 at 2:23 PM women who experienced ectopic pregnancy has 14% of frequency to experience another ectopic pregnancy in the subsequent pregnancy. It dependent of different causes. women with previous tubal surgery, IVF technology, PID and Endometriosis can have another ectopic pregnancy in the subsequent gestation. How often the heterotopic ectopic pregnancy can occur and arrives at term? I had a case to describe in my Hospital and I need other information to describe these case? 0 0 Reply The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News-Medical.Net. Cancel reply to comment Post a new comment Login (Logout) Post News A to Z Drugs A to Z Health A to Z Clinical Diagnostics Life Science Laboratory Consumer Products News Archive Medical News Tweets Information RSS News-Medical.net - An AZoNetwork Site Owned and Operated by AZoM.com Limited Copyright 2000-2016
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