Risk factors for cervical ectopic pregnancy - 14/11/20
, Sejal Tamakuwala b, c, Anupama Rambhatla c, Harpreet Brar c, Gustavo Vilchez d, Jenifer Allsworth e, Javier Rodriguez-Kovacs c, f, Awoniyi Awonuga cBienvenue sur EM-consulte, la référence des professionnels de santé.
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Abstract |
Objective |
To evaluate risk factors for cervical ectopic pregnancies.
Methods |
Retrospective, quasi-experimental case-control study of cervical ectopic pregnancy (CEP) cases from 2000-2013. Two groups were selected as controls, patients with tubal ectopic (TEP) and intrauterine pregnancies (IUP) without a history of TEP, matched by year of pregnancy and randomly sampled in a 1:3 case-control ratio per each study group.
Results |
21 cases were identified and 126 controls included, 63 TEP and IUP each. A binary logistic regression model was used to analyze whether statistically significant preceding factors from a bivariate analysis could predict CEP. Compared to patients with IUP, CEP patients had a higher history of elective abortions, D&C and cervical excisional procedures, with a high effect size (>0.7). Compared to patients with TEP, CEP patients had a higher history of D&C and cervical excisional procedures, with a high effect size (>.7). The risk of CEP was significantly higher with a prior history of D&C compared to an IUP (aOR 1.4; 95% CI, 1.1–9.1; p=0.04) and a TEP (aOR 6.1; 95% CI, 1.8–21.2; p=0.04).
Conclusion |
D&C is a strong risk factor for CEP when compared to pregnancies in other locations. These findings confirm previous associations described in case series.
Le texte complet de cet article est disponible en PDF.Keywords : Cervical ectopic pregnancy, Risk factors
Plan
Vol 49 - N° 10
Article 101665- décembre 2020 Retour au numéro
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