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- Title
Interstitial pregnancy management and subsequent pregnancy outcome.
- Authors
Sagiv, Ron; Debby, Abraham; Keidar, Ran; Kerner, Ram; Golan, Abraham
- Abstract
We report on management and subsequent fertility outcome of interstitial pregnancy in a retrospective cohort study (Canadian Task Force classification II-3) at a university affiliated teaching hospital. Of 706 women with extrauterine pregnancy, 14 consecutive women with interstitial pregnancy were treated by methotrexate, laparotomy or laparoscopy between 1997 and 2007. The first four women, with significant hemoperitoneum, were treated by laparotomy. Of the next 10 women, four were selected for medical treatment with methotrexate. Only one case was treated successfully. The other six women had laparoscopic treatment. Of nine laparoscopies, one was converted to laparotomy due to excessive blood loss during the procedure. Of nine women desiring a child, three were infertile, whereas six conceived with an intrauterine pregnancy. A change from diagnosis later in pregnancy and laparotomy to more conservative treatment, mainly by laparoscopy, suggests a possibly better subsequent pregnancy rate.
- Subjects
PREGNANCY complications; COHORT analysis; ABDOMINAL surgery; LAPAROSCOPY complications; METHOTREXATE
- Publication
Acta Obstetricia et Gynecologica Scandinavica, 2013, Vol 92, Issue 11, p1327
- ISSN
0001-6349
- Publication type
Article
- DOI
10.1111/aogs.12239