Objective: To analysis of delivery outcomes after surgery for ectopic pregnancy.
Methods: From January 1, 2005 to April 30, 2019, 23 pregnant women who had undergone tubal resection or wedge resection and unilateral salpingo-oophorectomy were enrolled in the department of Obstetrics and Gynecology, Chonnam National University Hospital. The result of the delivery was investigated through contact. Two of the 20 patients are currently pregnant without any specific findings.
Results: From January 2005 to April 30, 2019, the results of a survey of 20 women who were confirmed by phone call from 23 women who had heterotopic pregnancy confirmed. Fifteen patients underwent tubal resection for tubal pregnancy, four patients underwent uterine wedge resection for uterine pregnancy, and one underwent unilateral salpingo-oophorectomy for ovarian pregnancy. Eighteen out of 20 patients were ectopic pregnancies that occurred after assisted reproductive technology. Two cases were ectopic pregnancies due to natural pregnancy. 15 of 20 patients who underwent tubal resection for fallopian tube pregnancy, 11 were born at birth at full-term, and 1 is currently pregnant. One got cesarean section due to induction failure. 84% of women who underwent tubal resection for tubal pregnancy were delivered at full-term. Of the 4 patients who underwent uterine wedge resection for uterine pregnancy, 2 were cesarean delivery at term. One patient is currently pregnant and one patient is naturally born at term.
Conclusion: There was no significant increase in risk factors until the end of the postoperative period after surgical treatment of ectopic pregnancy. There were no cases of hospitalization due to preterm delivery until delivery, and 95% of cases were due at maturity. There was no fetal abnormality or maternal complication. The development of assisted reproductive technologies increased the incidence of ectopic pregnancy, but the prognosis after delivery for ectopic pregnancy was not as high as that for normal pregnancies.