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Ectopic pregnancy in Aberdeen 1950-1985.
G M Flett1, D R Urquhart, C Fraser
1Department of Obstetrics and Gynaecology, Aberdeen Maternity Hospital.
Summary
The incidence of ectopic pregnancy has tripled since 1970. Sterilization is increasingly linked to ectopic pregnancies, rising to 21% in 1975-1979.
Area of Science:
- Reproductive Health
- Gynecology
- Epidemiology
Background:
- Ectopic pregnancy incidence has been rising globally.
- Sterilization is a common method of contraception.
Purpose of the Study:
- To investigate the trends in ectopic pregnancy incidence in Aberdeen.
- To assess the relationship between female sterilization and ectopic pregnancy.
Main Methods:
- Retrospective analysis of ectopic pregnancy cases from 1950-1985.
- Calculation of incidence rates using different denominators.
- Analysis of ectopic pregnancy prevalence in sterilized women.
Main Results:
- Ectopic pregnancy incidence increased threefold since 1970, reaching 6.4 per 1000 pregnancies.
- The prevalence of ectopic pregnancy post-sterilization was 3.55 per 1000 sterilizations.
- The proportion of ectopic pregnancies in sterilized women rose from 0% to 21% between the 1950s and 1975-1979.
Conclusions:
- The rising incidence of ectopic pregnancy is a significant public health concern.
- Female sterilization, despite its safety, is associated with an increasing proportion of ectopic pregnancies.
- Further research is needed to understand the mechanisms linking sterilization to ectopic pregnancy.
Keywords:
Developed CountriesDiseasesElectrocoagulationEndoscopyEuropeExaminations And DiagnosesFamily PlanningFemale SterilizationIncidenceInterval SterilizationLaparoscopyLaparotomyMeasurementNorthern EuropePhysical Examinations And DiagnosesPregnancy ComplicationsPregnancy, EctopicPregnancy, TubalResearch MethodologyScotlandSterilization, SexualSurgeryTreatmentUnited Kingdom