CLINICAL COURSE AND PROGNOSIS OF «NEAR MISS» ECTOPIC PREGNANCY
Aim. To identify risk factors for «near miss» ectopic pregnancy. Materials and Methods. We recruited 720 consecutive women with ectopic pregnancy who were admitted to the gynecology unit of a large multidisciplinary hospital from 2007 to 2017. All patients were divided into two groups: without «near...
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| Language: | Russian |
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Kemerovo State Medical University
2018-06-01
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| Series: | Фундаментальная и клиническая медицина |
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| Online Access: | https://fcm.kemsmu.ru/jour/article/view/91 |
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| author | LARISA E. Fetischeva VADIM G. Mozes IGOR S. Zakharov T. M. Sokolova |
| author_facet | LARISA E. Fetischeva VADIM G. Mozes IGOR S. Zakharov T. M. Sokolova |
| author_sort | LARISA E. Fetischeva |
| collection | DOAJ |
| description | Aim. To identify risk factors for «near miss» ectopic pregnancy. Materials and Methods. We recruited 720 consecutive women with ectopic pregnancy who were admitted to the gynecology unit of a large multidisciplinary hospital from 2007 to 2017. All patients were divided into two groups: without «near miss» (n = 666) and with «near miss» ectopic pregnancy (n = 54) defined by potentially life-threatening conditions such as massive (> 1500 mL) intraabdominal bleeding, multiple organ failure syndrome, or sepsis. Short-term outcomes were evaluated on the 6th day postoperation. Results. Certain risk factors for «near miss» were uncontrollable such as cardiovascular disease (OR = 3.2, 95% CI = 1.0-9.8, p = 0.004) and past medical history of obstetric or gynecological disorders, in particular spontaneous miscarriage (OR = 15.6, 95% CI = 7.7-31.7, p = 0.001). Controllable risk factors included rare types of ectopic pregnancy (OR = 3757.4, 95% CI = 625-30567, p = 0.001) such as interstitial pregnancy (OR= 896.3, 95% CI = 121.3-1864.4, p = 0.001). Conclusion. Rare types of ectopic pregnancy represent a valuable predictor of «near miss» condition. |
| format | Article |
| id | doaj-art-36f9ba0f6ee84089b2941a636d0afc39 |
| institution | DOAJ |
| issn | 2500-0764 2542-0941 |
| language | Russian |
| publishDate | 2018-06-01 |
| publisher | Kemerovo State Medical University |
| record_format | Article |
| series | Фундаментальная и клиническая медицина |
| spelling | doaj-art-36f9ba0f6ee84089b2941a636d0afc392025-08-20T03:19:11ZrusKemerovo State Medical UniversityФундаментальная и клиническая медицина2500-07642542-09412018-06-0132425090CLINICAL COURSE AND PROGNOSIS OF «NEAR MISS» ECTOPIC PREGNANCYLARISA E. Fetischeva0VADIM G. Mozes1IGOR S. Zakharov2T. M. Sokolova3Podgorbunsky Regional Clinical Emergency HospitalKemerovo State Medical UniversityKemerovo State Medical UniversityNovosibirsk State Medical UniversityAim. To identify risk factors for «near miss» ectopic pregnancy. Materials and Methods. We recruited 720 consecutive women with ectopic pregnancy who were admitted to the gynecology unit of a large multidisciplinary hospital from 2007 to 2017. All patients were divided into two groups: without «near miss» (n = 666) and with «near miss» ectopic pregnancy (n = 54) defined by potentially life-threatening conditions such as massive (> 1500 mL) intraabdominal bleeding, multiple organ failure syndrome, or sepsis. Short-term outcomes were evaluated on the 6th day postoperation. Results. Certain risk factors for «near miss» were uncontrollable such as cardiovascular disease (OR = 3.2, 95% CI = 1.0-9.8, p = 0.004) and past medical history of obstetric or gynecological disorders, in particular spontaneous miscarriage (OR = 15.6, 95% CI = 7.7-31.7, p = 0.001). Controllable risk factors included rare types of ectopic pregnancy (OR = 3757.4, 95% CI = 625-30567, p = 0.001) such as interstitial pregnancy (OR= 896.3, 95% CI = 121.3-1864.4, p = 0.001). Conclusion. Rare types of ectopic pregnancy represent a valuable predictor of «near miss» condition.https://fcm.kemsmu.ru/jour/article/view/91внематочная беременность«near miss»факторы рискаectopic pregnancy«near miss»risk factors |
| spellingShingle | LARISA E. Fetischeva VADIM G. Mozes IGOR S. Zakharov T. M. Sokolova CLINICAL COURSE AND PROGNOSIS OF «NEAR MISS» ECTOPIC PREGNANCY Фундаментальная и клиническая медицина внематочная беременность «near miss» факторы риска ectopic pregnancy «near miss» risk factors |
| title | CLINICAL COURSE AND PROGNOSIS OF «NEAR MISS» ECTOPIC PREGNANCY |
| title_full | CLINICAL COURSE AND PROGNOSIS OF «NEAR MISS» ECTOPIC PREGNANCY |
| title_fullStr | CLINICAL COURSE AND PROGNOSIS OF «NEAR MISS» ECTOPIC PREGNANCY |
| title_full_unstemmed | CLINICAL COURSE AND PROGNOSIS OF «NEAR MISS» ECTOPIC PREGNANCY |
| title_short | CLINICAL COURSE AND PROGNOSIS OF «NEAR MISS» ECTOPIC PREGNANCY |
| title_sort | clinical course and prognosis of near miss ectopic pregnancy |
| topic | внематочная беременность «near miss» факторы риска ectopic pregnancy «near miss» risk factors |
| url | https://fcm.kemsmu.ru/jour/article/view/91 |
| work_keys_str_mv | AT larisaefetischeva clinicalcourseandprognosisofnearmissectopicpregnancy AT vadimgmozes clinicalcourseandprognosisofnearmissectopicpregnancy AT igorszakharov clinicalcourseandprognosisofnearmissectopicpregnancy AT tmsokolova clinicalcourseandprognosisofnearmissectopicpregnancy |