Ralationship of Extrauterine Pregnancies with Fertility and the Following Pregnancies

Considering the increasing trend for ectopic pregnancies in the world and different reports on its complications and the fate of the following pregnancies, this study was performed to determine the relationship between these factors in referrals of the hospitals of Shaheed Beheshti University of Medical Sciences from 1991 to 1996. The cohort strategy of this research study was carried out on 260 women. The case group (n = 130) consisted of cases with a pathologic diagnosis of tubular pregnancy and had undergone radical surgical procedures and then still willing to become pregnant. The control group (n = 130) comprised of cases with normal pregnancy and had a personal and history as case group. The required data were gathered from their medical records. In addition, the condition of next pregnancies, the fertility in this regard, having the term or early labor, having again ectopic pregnancy, and spontaneous or neglected abortion were considered and the results were analyzed using statistical tests. Out of 260 cases, 70% and 3.8% of cases in case and control groups respectively and had infertility after 14.2 ± 10.8 months and the difference was significant (P<0.0001). In control group, the elapsed time with the next pregnancy was shorter and 99.4% of women had become pregnant again in the first year. The rate of next term pregnancy for case and control groups was 50% and 65.4% and the difference was significant (P<0.02). There was also no significant difference between case and control groups regarding premature labor and next abortions, but there existed a higher chance of ectopic pregnancy in case group compared to control group (P<0.001). In summary, it can be concluded that ectopic pregnancy is a great threat for the next pregnancies and their fate and for this reason, newer diagnostic and treatment methods is suggested for such patients.