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Prediction of recurrent ectopic pregnancy: A five-year follow-up cohort study

European Journal of Obstetrics & Gynecology and Reproductive Biology Apr 15, 2018

Ellaithy M, et al. - The value of different clinical risk factors in the prediction of recurrent ectopic pregnancies (REP) was determined. Women who subsequently developed REP had more prevalent prior miscarriages, evacuation of retained products of conception (ERPC), pelvic inflammatory disease (PID) and consanguinity, they also had lower hemoglobin levels at the time of primary EP, and lower prevalence of surgical treatment. Salpingectomy, when compared to salpingostomy, and laparoscopy, when compared with laparotomy, were observed to be associated with a lower risk of REP. As per multivariable binary logistic regression, prior PID, treatment modality and presenting hemoglobin level were noted to be independent predictors of REP. Findings thereby suggest that considering primary ectopic pregnancy data carefully could provide help in predicting the potential risk of recurrence in the future.
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