Two case reports of triple ectopic: Literature review of incidence, risk factors and management of recurrent ectopic pregnancy.

Abstract

Ectopic pregnancy is a gynaecological emergency. While its identification and management are monumental, it also impacts the patient's future fertility. Ectopic pregnancy is one of the leading causes for maternal deaths in the first trimester. The rate of ectopic pregnancy in the United Kingdom is reported to be 11 per 1000 pregnancies, with a maternal mortality of 0.2 per 1000 estimated ectopic pregnancies and two-thirds of these deaths are associated with substandard care. Literature is replete with risk factors leading to ectopic pregnancy, such as tubal disease, previous pelvic surgery, tubal surgery, assisted reproduction, smoking and so on. The paper employs case scenarios of recurrent ectopic pregnancies in two patients with triple recurrent ecotpic pregnacies. It discusses the risk factors and preventive measures to avoid multiple recurrences.