%0 Journal Article
%T Evaluation of Spontaneous Fertility after Medical Treatment of Tubal Ectopic Pregnancy in Two Hospitals in the City of Yaounde
%A Noa Ndoua Claude Cyrille
%A Tchedele Guidebta Hilary
%A Nyada Serge Robert
%A Astrid Ruth Ndolo Kondo
%A Ayissi Gregory
%A Ngo Dingom Anne Madye
%A Tompeen Isidore
%J Open Journal of Obstetrics and Gynecology
%P 175-185
%@ 2160-8806
%D 2024
%I Scientific Research Publishing
%R 10.4236/ojog.2024.141016
%X <strong>Background:</strong> <span style=\"font-family:Verdana;\">Ectopic pregnancy is a major cause of maternal morbidity and mortality,
estimated to occur in 1</span><span style=\"font-family:Verdana;\">% </span><span style=\"font-family:Verdana;\">-</span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\">2% of
pregnancies worldwide. This condition also has an adverse effect on the
fertility prospects of women who experience </span><span><span style=\"font-family:Verdana;\">it. </span><b><span style=\"font-family:Verdana;\">Objective: </span></b><span style=\"font-family:Verdana;\">To determine the outcomes of subsequent spontaneous fertility
after medical treatment of patients with methotrexate (MTX) </span></span><span style=\"font-family:Verdana;\">in patients
with ectopic pregnancy at two university teaching hospitals of Yaounde. </span><b><span style=\"font-family:Verdana;\">Methodology: </span></b><span style=\"font-family:Verdana;\">We carried out a cross-sectional study with retrospective data collection
in two university teaching hospitals of Yaounde during </span></span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\">a six years period from 1</span><sup><span style=\"font-family:Verdana;\">st</span></sup><span style=\"font-family:Verdana;\"> January 2015 to 31</span><sup><span style=\"font-family:Verdana;\">st</span></sup><span style=\"font-family:Verdana;\"> May 2021. Seventy records of patients who had medical treatment for ectopic
pregnancy were included in this study. Statistical analysis was performed using
SPSS. 23. </span></span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\">The Chi-2 statistical test was used to compare
qualitative variables. Binary logistic regression method was performed to
identify independent risk factors associated with infertility after medical
treatment of tubal ectopic pregnancy (TEP). The significance level was set at
0.05. </span><b><span style=\"font-family:Verdana;\">Results: </span></b><span style=\"font-family:Verdana;\">The mean age in our study population was 27.8 ¡À 3.8
years. According to the past medical history, 52.9% had a pelvic inflammatory
disease (PID) and the most frequently germ found was C. trachomatis (47.1%).
Almost 15% of our study population had previous surgery for EP. The median
Fernandez score was 11 with a minimum score of 4 and a maximum score of 13. The
route of administration of methotrexate was intramuscular in all our patients,
and the single-dose protocol was used
%K Ectopic Pregnancy
%K Maternal Morbidity
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=130949