TITLE:
Heterotopic Pregnancy: Challenges in Diagnosis and Management
AUTHORS:
V. Sunita, M. Ramya, T. Shruthi, G. Sangeetha
KEYWORDS:
Heterotopic Pregnancy, Hematosalpinx, Ectopic Pregnancy
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.6 No.8,
June
23,
2016
ABSTRACT: Objectives: 1) To
study the obstetric outcome in two women with heterotopic pregnancy, 2) To
report the challenges faced during management of these pregnancies. Design:
Case study of two heterotopic pregnancies managed by us. Setting: RL Jalappa
Hospital and Research Hospital. Patients: Two women with heterotopic pregnancy.
Interventions: Laparotomy and management of ectopic component. Main Outcome Measures:
Pregnancy outcomes following surgery. Results: Both pregnancies continued with
one live birth at 36 weeks and one preterm delivery at 29 weeks with neonatal
death subsequently. Conclusion: Pregnancy outcome after surgery for heterotopic
pregnancy is guarded and is at high risk for preterm birth. Salpingostomy is a
good option when faced with dilemma of
whether it is hematosalpinx or ectopic pregnancy instead of salpingectomy.