Clinical study of Ectopic Pregnancy.

Lee, Jung Suk; Kim, Tae Woo; Lee, Yu Jin; Jo, Kyung Hun; Yun, Yeon Jung; Lee, Shin Ae

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Original Article

Korean Journal of Obstetrics & Gynecology 2002;45(10):1730-1735.
Published online October 1, 2002.

Clinical study of Ectopic Pregnancy.

Jung Suk Lee, Tae Woo Kim, Yu Jin Lee, Kyung Hun Jo, Yeon Jung Yun, Shin Ae Lee

Department of Obstetrics and Gynecology, National Police Hospital, Seoul, Korea.

Abstract

OBJECTIVE
Ectopic pregnancy can still cause maternal death, though we have undergone it frequently. So, we survey 80 cases ectopic pregnancies treated our hospital for early detection and proper management. METHODS: In this study, the authors studied retrospectively 80 cases which had been admitted and treated at the department of Obstetrics and Gynecology, National Police Hospital from Jan. 1, 1991 to Dec. 31, 2000. RESULTS: Incidence of ectopic pregnancy was one in 68 normal deliveries for 10 years, 63.7% of cases occurred in 25~34 years-old age group, and 52.6% of patients had previous abdominal surgery including cesarean section. Average interval of tubal ligation was 6.5 years between the onset of ectopic pregnancy and tubal ligation. Lower abdominal pain was the most common clinical symptom developed in 91.3% of the patients. Average interval between the onset of symptom and LMP was 7.6 weeks. Most ectopic pregnancies were tubal pregnancies and salpingectomy was done in 56.3% of the patients. CONCLUSION: According to our study, ectopic pregnancy occurred most frequently in women in their reproductive age and one of most important prognostic factors is time between onset of symptom and arrival of patient at hospital. We must make our efforts to preserve utero-ovarian function in treatment of patients with ectopic pregnancy.

Key Words: Ectopic pregnancy

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