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Sequelae and prognosis

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Sequelae will vary according to an individual's risk factors and the means of management employed.

Illustrative figures are presented for surgical and medical management:

  • laparoscopic salpingostomy - of 976 patients treated, 94% did not require any additional procedure.
  • systemic methotrexate - of 306 patients treated, 94% did not require any additional therapy.

The risk of ectopic pregnancy reoccurring is

  • around 10% in women with one previous ectopic pregnancy
  • at least 25% in women with two or more previous ectopic pregnancies (1)

According to population based cohort studies done on subsequent pregnancies after an ectopic pregnancy,

  • regardless of the treatment method (surgical or medical), 66% of women conceived after therapy with 90% reporting intrauterine pregnancy and 10% with recurrent ectopic pregnancy
  • around 62-70% intrauterine pregnancies and around 8% recurrent ectopic pregnancies were seen after methotrexate treatment (2)

Although maternal death from ectopic pregnancy has decreased, it is still the leading cause of death in the first trimester (2)

  • in UK there were 10 maternal deaths due to ectopic pregnancy between 2003-2005 (3)

Reference:

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