Do you know the frequency of Primary Ovarian Pregnancy (OP)? Its incidence after natural conception ranges from 1/2000 to 1/60 000 deliveries, accounting for 3% of all ectopic pregnancies. Ovarian Pregnancy is “where the gestational sac is implanted in the ovary, and is one of the rarest forms of ectopic pregnancy “. The enclosed research article published in the BMJ is a very interesting read and identifies in part the following points.
- The first case was reported in 1682 and OP has become an important concern in the field of obstetrics and its incidence is reportedly increasing.
- It is difficult to diagnose OP and differentiate it from haemorrhagic ovarian cyst and tubal pregnancy (TP) before operation. Because of the increased vascularity of ovarian tissue, OP usually results in rupture and haemoperitoneum, making it a life-threatening gynaecological emergency.
- Counselling of high-risk patients before conception and better understanding of the risk factors can aid in the rapid diagnosis of OP and improve prognosis
- Some researchers believe that increased OP risk may be associated with factors such as endometriosis, previous adnexal surgeries, previous infectious diseases, history of infertility, in vitro fertilisation and embryo transfer (IVF-ET), polycystic ovarian syndrome and intrauterine device (IUD) use.
The enclosed research report concluded:
IVF-ET and current IUD use are risk factors of OP, while previous adnexal surgery, a positive reaction to CT IgG antibody, and LNG-EC use are not associated more strongly with OP than TP. OP patients are more likely to have high β-hCG Levels. These women also have worse clinical outcomes (shock, rupture, haemoperitoneum and need for emergency laparotomy).These risk factors and clinical features seem to have a high predictive value and may aid in early detection of OP, thereby enabling conservative treatment, reduced mortality and morbidity rates, preservation of fertility and lower overall costs of healthcare for OP.
The Nurses for Nurses Network has a great range of Nursing Education and Nursing activities .The sessions are focused on Nurses who need to know about contemporary nursing practice in the ‘real world’ where Nurses are often time poor and resource limited!