Ovarian pregnancy and intrauterine devices

Levin, Samuel J.; Caspi, Eliahu; Hirsch, Heather

doi:10.1016/0002-9378(72)90570-4

Cited by 11 publications

(3 citation statements)

References 5 publications

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“…Beyond the tube the contraceptive effect is absent and from the statistical data available it would appear that the I U D is therefore etiologic in ovarian pregnancy. Only when the total number of potential pregnancies prevented by the I U D is examined can it be seen that the true incidence of ovarian pregnancy is unchanged (12). Among wearers of the I U D there is one ectopic pregnancy for every 25 intrauterine pregnancies, again demonstrating the reduced effectiveness of the I U D in preventing eccyesis (11).…”

Section: Methodsmentioning

confidence: 99%

Ectopic Pregnancy: An Analysis of 153 Patients

Hlavin

Ladocsi

Breen

1978

International Journal of Gynecology & Obstetrics

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In order to gain greater insight into the diagnosis and management of ectopic pregnancies, a study of 153 cases seen and treated from 1960 to 1974 was undertaken. The ratio of ectopic pregnancy to deliveries was 1:146, the greatest incidence occurring in multiparous patients 26–30 years of age. The various types of ectopic pregnancies found among these women were: tubal, 136 (90.6%); cornual, 4 (2.7%); ovarian, 4 (2.7%); abdominal, 4 (2.7%); combined, 1 (0.7%); and unspecified, 1 (0.7%). Pain, amenorrhea and vaginal bleeding were the most common presenting signs and symptoms. Abdominal pain and tenderness, together with severe pain on pelvic examination and an adnexal mass or fullness, were the most significant physical findings. Culdocentesis was the most reliable technique for establishing the diagnosis of ectopic pregnancy, and total salpingectomy was the treatment of choice. The ectopic gestation was ruptured in 131 patients (87.3%) at the time of surgery. There were no maternal deaths.

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Section: Methodsmentioning

confidence: 99%

Ectopic Pregnancy: An Analysis of 153 Patients

Hlavin

Ladocsi

Breen

1978

International Journal of Gynecology & Obstetrics

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“…Ovarian pregnancy is a rare form of ectopic gestation. However, reports on primary ovarian pregnancies have appeared more frequently during recent years (2,10,11,16,17,23,25,29,31).…”

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confidence: 99%

“…Fernandez & Barbosa (9), Lehfeldt et al (16), Levin et al (17), and Pugh et al (23) do not believe that the increased use of IUDs has resulted in a real increase in the incidence of ovarian pregnancies. On the other hand they suggest that the IUD does not offer any protection against ovarian pregnancies, whereas a reduction in intratuerine and tubal pregnancies is seen.…”

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confidence: 99%