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Ectopic pregnancy in a defined Nigerian population.

O O Makinde1, S O Ogunniyi

  • 1Department of Obstetrics, Gynaecology and Perinatology, Faculty of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|November 1, 1990
PubMed
Summary

Ectopic pregnancy incidence rose from 1977-1987, particularly in nulliparous women. This trend may be linked to increased pelvic infections causing tubal damage.

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Area of Science:

  • Obstetrics and Gynecology
  • Reproductive Health Epidemiology

Background:

  • Ectopic pregnancy poses significant risks to maternal health.
  • Understanding temporal trends in ectopic pregnancy incidence is crucial for public health.
  • Pelvic infections are a known risk factor for tubal damage and subsequent ectopic pregnancy.

Purpose of the Study:

  • To analyze the incidence and characteristics of ectopic pregnancy.
  • To identify trends in ectopic pregnancy over a ten-year period.
  • To explore potential contributing factors to observed trends.

Main Methods:

  • Retrospective review of all ectopic pregnancy cases.
  • Data collected from Ile-Ife Teaching Hospital between 1977 and 1987.
  • Calculation of incidence per 1000 births and proportion of gynecological admissions.

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Main Results:

  • Ectopic pregnancy incidence was 4.76 per 1000 births.
  • The condition represented 2.75% of gynecological admissions.
  • An increasing incidence and proportion of nulliparous patients were observed.
  • Low associated mortality rate of 0.5%.

Conclusions:

  • Ectopic pregnancy incidence showed an upward trend during the study period.
  • The rising proportion of nulliparous patients suggests evolving risk factors.
  • Tubal damage secondary to pelvic infections is a potential explanation for these trends.