News for women who have history of ectopic pregnancy

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Women who experience an ectopic pregnancy are less likely to conceive in the future and may be at increased risk for having another ectopic pregnancy. This is according to new research from researchers funded by the Chief Scientist Office in Scotland.

Ectopic pregnancy occurs 1-2% of all pregnancies

An ectopic pregnancy is when the embryo implants outside the uterus, usually in the fallopian tubes. Very rarely an embryo may implant somewhere in the mother’s abdominal cavity. Ectopic pregnancies occur in 1-2% of all pregnancies. They may be life-threatening. In England, ectopic pregnancies are responsible for 75% of early pregnancy related deaths.

Research led by Sohinee Battacharya from the University of Aberdeen utilized the national database and hospital discharge information to find women who had ectopic pregnancies, miscarriages, terminated pregnancies, or on-going pregnancies between 1981 and 2000. They looked at their future reproductive outcomes to draw conclusions.

Counseling strongly recommended for women with a history

“The results of this study will help clinicians to counsel women with ectopic pregnancy-both at the time of initial diagnosis and treatment, a well a later when they attend for antenatal care,” said authors of the study. “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. This would include pre-conception care, advice to seek expert consultation should they wish to start a family, and consideration of an early pregnancy scan to confirm an intrauterine gestation.”

Odds no worse than any first time conception

In spite of the increased risk, the authors found that the data was broadly reassuring in establishing that pregnancy outcomes for women following a previous ectopic pregnancy were no worse than women in their first time pregnancy.

Source: MedicalNewsToday


 
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