Intrauterine Ectopic Pregnancy and Implications for Future Fertility and Pregnancy Outcome: A Descriptive Study in Yaounde

Background: Intrauterine ectopic pregnancies (IUEP) are uncommon. However, invasive management technics are usually required and this could compromise fertility, or obstetric and life prognosis in subsequent pregnancies. Objective: we aimed to assess the occurrence of pregnancy after an IUEP and the outcome of these pregnancies in 2 hospitals in Yaoundé, Cameroon. Methods: this was a descriptive cross-sectional study carried out on a 5-years period (2018-2022) with an exhaustive sampling. The study was done at two reference hospitals in Yaoundé and lasted 09 months (December 2023 to August 2024). We reviewed theatre registers for cases and searched for their files from which case details were extracted. We completed data through phone calls and used descriptive statistics as appropriate. Results: we found a total of 78 intrauterine (cornual or interstitial), excluded 37 cases and 41 cases were considered. Out of the 41 patients considered in the study, 17 conceived, 10 had reached at least 30 weeks of gestation with 3 still pregnant and 7 had a term delivery; of which 3 were vaginal and 4 by caesarean section. We recorded no uterine rupture. Conclusion: The fertility after IUEP was good and the outcome of subsequent pregnancies was favourable, with a slight preference for caesarean section as route of delivery.