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Assessing the risk factors and management outcomes of ectopic pregnancy: A retrospective case-control study

BACKGROUND: Ectopic pregnancy (EP) is the implantation of a fertilized egg outside the uterine cavity or in an unusual location. According to the clinical case reports, hormonal contraceptive failures may be related to emergency contraceptives and EP. EP may be treated medically, surgically, or expe...

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Autores principales: Tarafdari, Azadeh, Bandarian, Mahin, Hantoushzadeh, Sedigheh, Hadizadeh, Alireza, Shahsavari, Saeedeh, alsadat Razavi, Maryam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Knowledge E 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10285197/
https://www.ncbi.nlm.nih.gov/pubmed/37362094
http://dx.doi.org/10.18502/ijrm.v21i5.13475
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author Tarafdari, Azadeh
Bandarian, Mahin
Hantoushzadeh, Sedigheh
Hadizadeh, Alireza
Shahsavari, Saeedeh
alsadat Razavi, Maryam
author_facet Tarafdari, Azadeh
Bandarian, Mahin
Hantoushzadeh, Sedigheh
Hadizadeh, Alireza
Shahsavari, Saeedeh
alsadat Razavi, Maryam
author_sort Tarafdari, Azadeh
collection PubMed
description BACKGROUND: Ectopic pregnancy (EP) is the implantation of a fertilized egg outside the uterine cavity or in an unusual location. According to the clinical case reports, hormonal contraceptive failures may be related to emergency contraceptives and EP. EP may be treated medically, surgically, or expectantly. Currently, there is no consensus regarding whether a multiple- or double-dose regimen with methotrexate (MTX) or an additional dose could be more effective than a single-dose regimen. OBJECTIVE: This study aimed to assess risk factors and treatment outcomes for EP. MATERIALS AND METHODS: This case-control study was conducted in Tehran, Iran from March 2020 to March 2021. The case group was comprised of all EP-diagnosed cases (n = 191). Based on the levels of β-human chorionic gonadotropin, MTX was administered to stable individuals with no surgical indications. Risk factors were assessed through 2 control groups: intrauterine pregnancy (n = 190) and nonpregnant groups (n = 180). RESULTS: The medical treatment significantly improved with an extra dose of MTX, especially in individuals with higher β-human chorionic gonadotropin concentrations and gestational age [Formula: see text] 7.5 wk (p = 0.002). Considering risk factors, it is assumed that hormonal contraceptive failures, including both oral and emergency contraceptives, may increase the EP likelihood (p [Formula: see text] 0.001). CONCLUSION: Based on our findings, we recommended an additional dose of MTX for subjects who are further along in their pregnancy. It is also concluded that failure of contraceptive pills increases the chances of EP.
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spelling pubmed-102851972023-06-23 Assessing the risk factors and management outcomes of ectopic pregnancy: A retrospective case-control study Tarafdari, Azadeh Bandarian, Mahin Hantoushzadeh, Sedigheh Hadizadeh, Alireza Shahsavari, Saeedeh alsadat Razavi, Maryam Int J Reprod Biomed Original Article BACKGROUND: Ectopic pregnancy (EP) is the implantation of a fertilized egg outside the uterine cavity or in an unusual location. According to the clinical case reports, hormonal contraceptive failures may be related to emergency contraceptives and EP. EP may be treated medically, surgically, or expectantly. Currently, there is no consensus regarding whether a multiple- or double-dose regimen with methotrexate (MTX) or an additional dose could be more effective than a single-dose regimen. OBJECTIVE: This study aimed to assess risk factors and treatment outcomes for EP. MATERIALS AND METHODS: This case-control study was conducted in Tehran, Iran from March 2020 to March 2021. The case group was comprised of all EP-diagnosed cases (n = 191). Based on the levels of β-human chorionic gonadotropin, MTX was administered to stable individuals with no surgical indications. Risk factors were assessed through 2 control groups: intrauterine pregnancy (n = 190) and nonpregnant groups (n = 180). RESULTS: The medical treatment significantly improved with an extra dose of MTX, especially in individuals with higher β-human chorionic gonadotropin concentrations and gestational age [Formula: see text] 7.5 wk (p = 0.002). Considering risk factors, it is assumed that hormonal contraceptive failures, including both oral and emergency contraceptives, may increase the EP likelihood (p [Formula: see text] 0.001). CONCLUSION: Based on our findings, we recommended an additional dose of MTX for subjects who are further along in their pregnancy. It is also concluded that failure of contraceptive pills increases the chances of EP. Knowledge E 2023-05-12 /pmc/articles/PMC10285197/ /pubmed/37362094 http://dx.doi.org/10.18502/ijrm.v21i5.13475 Text en Copyright © 2023 Tarafdari et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Tarafdari, Azadeh
Bandarian, Mahin
Hantoushzadeh, Sedigheh
Hadizadeh, Alireza
Shahsavari, Saeedeh
alsadat Razavi, Maryam
Assessing the risk factors and management outcomes of ectopic pregnancy: A retrospective case-control study
title Assessing the risk factors and management outcomes of ectopic pregnancy: A retrospective case-control study
title_full Assessing the risk factors and management outcomes of ectopic pregnancy: A retrospective case-control study
title_fullStr Assessing the risk factors and management outcomes of ectopic pregnancy: A retrospective case-control study
title_full_unstemmed Assessing the risk factors and management outcomes of ectopic pregnancy: A retrospective case-control study
title_short Assessing the risk factors and management outcomes of ectopic pregnancy: A retrospective case-control study
title_sort assessing the risk factors and management outcomes of ectopic pregnancy: a retrospective case-control study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10285197/
https://www.ncbi.nlm.nih.gov/pubmed/37362094
http://dx.doi.org/10.18502/ijrm.v21i5.13475
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