Pregnancy outcomes after surgical treatment of ovarian pregnancy

Abstract Objective To investigate pregnancy outcomes subsequent to ovarian pregnancy treated by surgery. Methods A retrospective analysis was conducted of ovarian pregnancies that were treated by surgery at a hospital in Korea between January 1996 and December 2009. Results Forty-nine women with ova...

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Published in:International journal of gynecology and obstetrics 2011-08, Vol.114 (2), p.97-100
Main Authors: Koo, Yu-Jin, Choi, Hong-Jun, Im, Kyong-Shil, Jung, Hyun-Joo, Kwon, Yong-Soon
Format: Article
Language:English
Subjects:
Adult
Ectopic pregnancy
Endometriosis - complications
Female
Humans
Infertility, Female - etiology
Obstetrics and Gynecology
Ovarian pregnancy
Postoperative Complications - epidemiology
Pregnancy
Pregnancy Outcome
Pregnancy outcomes
Pregnancy, Ectopic - diagnosis
Pregnancy, Ectopic - etiology
Pregnancy, Ectopic - surgery
Republic of Korea - epidemiology
Retrospective Studies
Risk Factors
Surgical treatment
Treatment Outcome
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Summary:Abstract Objective To investigate pregnancy outcomes subsequent to ovarian pregnancy treated by surgery. Methods A retrospective analysis was conducted of ovarian pregnancies that were treated by surgery at a hospital in Korea between January 1996 and December 2009. Results Forty-nine women with ovarian pregnancies (1.6% of all ectopic pregnancies) were treated; 28 of these patients who were followed-up for more than a year were included in the study. The most common risk factor for ovarian pregnancy was endometriosis (42.9%). Accurate diagnosis of ovarian pregnancy was made preoperatively in 7 patients (25%). Of the 28 patients, 16 (57.1%) had subsequent pregnancies: 13 (46.4%) were intrauterine pregnancies and 3 (10.7%) were tubal pregnancies. However, no subsequent ovarian pregnancies occurred. In addition, only 1 patient had secondary infertility after surgery for ovarian pregnancy. Conclusions After an ovarian pregnancy treated by surgery, the outcome of a subsequent pregnancy is reasonable; there is a high rate of successful subsequent pregnancy and a low rate of subsequent ectopic pregnancy or of infertility.
ISSN:0020-7292
1879-3479
DOI:10.1016/j.ijgo.2011.02.013