Author(s)

V. Sunita^*, M. Ramya, T. Shruthi, G. Sangeetha

Department of Obstetrics and Gynaecology, Sri Devraj Urs Medical College, Kolar, India.

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.

Heterotopic Pregnancy, Hematosalpinx, Ectopic Pregnancy

Sunita, V. , Ramya, M. , Shruthi, T. and Sangeetha, G. (2016) Heterotopic Pregnancy: Challenges in Diagnosis and Management. Open Journal of Obstetrics and Gynecology, 6, 445-450. doi: 10.4236/ojog.2016.68059.