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Clinical and Experimental Obstetrics & Gynecology  2019, Vol. 46 Issue (6): 914-919    DOI: 10.12891/ceog4891.2019
Original Research Previous articles | Next articles
Clinical presentation, risk factors and management of ectopic pregnancy: a case-control study
A. Lavinia Cozlea1, E. Előd Élthes2, *(), Á. Török3, M. Emil Capîlna4
1Department of Obstetrics and Gynecology, Târgu Mureş Emergency Clinical County Hospital, Mureş County, Romania
22nd Department of General Surgery, Târgu Mureş Emergency Clinical County Hospital, Mureş County, Romania
32nd Department of General Surgery, Târgu Mureş Emergency Clinical County Hospital, University of Medicine and Pharmacy, Târgu Mureş, Mureş County, Romania
4Department of Obstetrics and Gynecology, Târgu Mureş Emergency Clinical County Hospital, University of Medicine and Pharmacy, Târgu Mureş, Mureş County, Romania
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Abstract  

Purpose of Investigation: To evaluate risk factors in patients with ectopic pregnancy (EP), while emphasizing the clinical presentation and management. Materials and Methods: Eighty patients with EP were included in a retrospective case-control study between 2016-2017. Patient's socio-demographic features and pathological background were assessed in relation to 150 patients with live vaginal deliveries, in order to determine the main risk factors for EP. Results: Tubal (95%) was observed, with right side (60%) preponderance of EP, associated with vaginal bleeding (80%) and leukocytosis (61.25%). Main identified risk factors were previous EP (OR = 11.79), cesarean section (OR = 11.31), cigarette consumption (OR = 7.47), history of laparotomy (OR = 7.28), and tubal damage (OR = 7.09). Most patients underwent laparoscopy (87.5%) associated with a shorter hospital admission (p = 0.0011). Conclusion: Considering the risk factors, the physician could establish an accurate diagnosis in less time, avoiding complications by performing a suitable surgical intervention.

Key words:  Ectopic pregnancy      Tubal      Cesarean      Laparotomy      Laparoscopy      Surgery     
Published:  10 December 2019     
*Corresponding Author(s):  E. ELőD ÉLTHES     E-mail:  elthesetele@yahoo.com

Cite this article: 

A. Lavinia Cozlea, E. Előd Élthes, Á. Török, M. Emil Capîlna. Clinical presentation, risk factors and management of ectopic pregnancy: a case-control study. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 914-919.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog4891.2019     OR     https://ceog.imrpress.com/EN/Y2019/V46/I6/914

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