Original Article

Clinical Outcomes of Tubal Heterotopic Pregnancy: Assisted vs. Spontaneous Conceptions
Sang Hoon Han^a, Byung Chul Jee^a, Chang Suk Suh^{a, b}, Seok Hyun Kim^b, Young Min Choi^b, Jung Gu Kim^b, Shin Yong Moon<sup>b

a</sup>Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Gyeonggi, and
^bDepartment of Obstetrics and Gynecology, College of Medicine, Seoul National University, Seoul, Korea

Address of Corresponding Author

Gynecol Obstet Invest 2007;64:49-54 (DOI: 10.1159/000099014)

  Key Words

• Tubal heterotopic pregnancy
• Live birth rate
• Assisted conception

  Abstract

Background: It has not been established whether the clinical outcomes of tubal heterotopic pregnancy resulting from assisted conception are different to those of spontaneous conception. The aim of this study was to compare the clinical course and the outcome of intrauterine gestation following surgical treatment for tubal heterotopic pregnancy according to the method of pregnancy. Methods: Medical records of 13 cases of tubal heterotopic pregnancy experienced in Seoul National University Hospital during 1990-2004 and 30 case reports of tubal heterotopic pregnancy published in the Korean Journal of Obstetrics and Gynecology during 1980-2004 were reviewed retrospectively. The clinical outcomes were compared between the assisted (n = 23) and spontaneous conception groups (n = 20). Results: The assisted conception group had a significantly higher preoperative systolic blood pressure and a previous history of pelvic pathology. The spontaneous group had a higher incidence of tubal rupture and hemoperitoneum. The assisted conception group had a higher live birth rate than the spontaneous group (47.8 vs. 20%, p = 0.056). Conclusions: In tubal heterotopic pregnancy, the assisted conception group had a more favorable clinical course and intrauterine gestation outcome following surgical treatment when compared with the spontaneous conception group.

Copyright © 2007 S. Karger AG, Basel

  Author Contacts

Chang Suk Suh, MD
Department of Obstetrics and Gynecology
Seoul National University Bundang Hospital, 300 Gumi, Bundang, Seongnam
Gyeonggi 463-707 (Korea)
Tel. +82 031 787 7251, Fax +82 031 787 4054, E-Mail suhcs@snu.ac.kr

  Article Information

S.H.H. and B.C.J. contributed equally to this paper.

Received: May 3, 2006
Accepted after revision: November 1, 2006
Published online: January 25, 2007
Number of Print Pages : 6
Number of Figures : 0, Number of Tables : 2, Number of References : 17