Abstract
The increase in the incidence of ectopic pregnancy in the last 20 years, with the serious compromise of the woman's obstetric future and the life-threatening complications caused by it, makes ectopic pregnancy a very current problem, frequently encountered in Obstetrics-Gynecology clinics The aim of this study is to compare how risk factors and management can influence the incidence and the risk of recurrence of ectopic pregnancy. This paper presents a prospective case-control study for 65 patients, who have been diagnosed serologically and ultrasonically. In the present study, the most common risk factors involved were: pelvic inflammatory disease (46%), ectopic pregnancy (20%), smoking (85%), abortions (55%), and abdominal surgery (43%). In the group of patients studied, patients required surgical and medical treatment, and also a management of expectation. The risk factors that influence recurrence were smoking (100%), pelvic inflammatory disease (84.6%), abortions (53.8%), abdominal surgery (46%). By the type of surgery (laparoscopy or laparotomy), the risk of recurrence varies between 6 and 10% and does not seem to be influenced by it.
Highlights
There has been an increase in the incidence of ectopic pregnancy in women of reproductive age, explained by the existence of many risk factors underlying its occurrence and whose share has increased recently
Both physiological and pathological history are among the risk factors for ectopic pregnancy [1,2]
In the study group there is an incidence of 3.8% of ectopic pregnancy in relation to the number of births in the evaluated period (65 ectopic pregnancies per 1,693 births)
Summary
There has been an increase in the incidence of ectopic pregnancy in women of reproductive age, explained by the existence of many risk factors underlying its occurrence and whose share has increased recently. Both physiological and pathological history are among the risk factors for ectopic pregnancy [1,2]. Complications resulting from voluntary termination of pregnancy, infections, as well as postabortion endometritis can cause irreversible morphological lesions that favor, in the future, the occurrence of ectopic pregnancy. Specialized studies show that personal pathological history of ectopic pregnancy increases the risk of a new ectopic pregnancy [3]. In vitro fertilization and the use of ovulation stimulators cause endocrine imbalances [6,7]
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