Treatments and Outcomes of Patients Diagnosed With Tubal Pregnancy at Wichian Buri Hospital

Abstract

Background: Treatment options of tubal pregnancy include medical and surgical treatments and the outcomes is associated with an appropriate patient selection. However, the limitation of hospital resource may influence the treatment options and also outcome. Objective: To evaluate patients diagnosed with tubal pregnancy including treatment method and outcomes of treatment at Wichian Buri Hospital. Methods: Fifty-five women diagnosed with ectopic pregnancy who were treated at Wichian Buri Hospital from January 2017 to December 2020 were included in the retrospective study. The clinical data was recorded. The treatment option and outcomes were collected. Results: The mean maternal age was 29 years (SD, 7.3 years). Most of the cases had no known risk factor such as the history of sexually-transmitted infection and no previous pelvic surgery. There were 38 patients (69.1%) presented with more than 1 symptom including pain and bleeding and the total of 48 patients (87.3%) reported symptom of pain. Most of the cases (63.6%) were diagnosed with unruptured ectopic pregnancy. Comparing ruptured and unruptured ectopic pregnancies, there was no statistical difference in clinical data except for the size of the adnexal mass, which was smaller in the ruptured group (P = .01). All ruptured tubal pregnancy underwent surgery which was salpingectomy. The majority of unruptured ectopic pregnancies also underwent surgical treatment (65.7%). Conclusions: The treatment of ectopic pregnancy in Wichian Buri Hospital was comparable to the standard treatment. The surgical management was the majority of treatment options that were selected regarding to the limitation. However, the outcomes were acceptable.