Management strategies of ectopic pregnancy and reproductive outcomes: a report of 648 cases

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Objective To explore the reproductive outcomes of different management strategies of ectopic pregnancy. Methods A retrospective cohort study was performed for 648 consecutive patients with a diagnosis of ectopic pregnaney between June 2011 and september 2013. The follow-ups were conducted telephone interviews of pregnancy outcomes after various treatments. Results The subsequent intrauterine pregnancy rates after surgical, medical and expectant managements were 89(65.0%), 35(79.6%) and 6(54.5%) the intrauterine pregnancy was higher for medical treatment than that for surgical treatment (P<0.05). The subsequent infertility rate after surgical, medical and expectant management were 4.5%, 36.4%, 19.0%. The subsequent infertility rate after medical treatment was lower than that for surgical and expectant managament (P<0.05). The re-ectopic pregnancy rates of laproscopic versus abdominal operation were [11 (11.7%), 13(30.2%)] with significant difference (P<0.05). And abdominal operation was higher than laproscopic operation. Conclusion For younger ectopic pregnancy patients, medical treatment shold be as possible as we can. If operation is necessary, laproscopic operation is preferred. Key words: Pregnancy, tubal; Pregnancy outcome; Fertility

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