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[Ectopic pregnancy. The "epidemic" seems to be over]
1Göteborgs universitet, Sahlgrenska sjukhuset.
Lakartidningen
|December 6, 1995
Summary
Ectopic pregnancy rates in Sweden peaked around 1989 but subsequently declined. The study reports the lowest recorded case-fatality rate for ectopic pregnancy during this period.
Area of Science:
- Reproductive Health
- Epidemiology
- Obstetrics & Gynecology
Context:
- Ectopic pregnancy incidence has increased significantly in Western countries over recent decades.
- Sweden observed a notable rise in ectopic pregnancy cases, reaching a peak in the late 1980s.
- This trend suggested an 'epidemic' rise in ectopic pregnancy diagnoses.
Purpose:
- To analyze the incidence and mortality trends of ectopic pregnancy in Sweden.
- To document the peak incidence and subsequent decline of ectopic pregnancy cases.
- To report the case-fatality rate associated with ectopic pregnancy during the study period.
Summary:
- Ectopic pregnancy incidence in Sweden peaked at 17.3 cases per 10,000 women in 1989.
- Following the peak, incidences decreased to 14.9 cases per 10,000 women by 1991.
- The mortality rate was 0.15 per 1000 cases, with only 3 deaths reported out of 20,486 cases between 1985-1991.
Impact:
- The findings highlight a potential turning point in ectopic pregnancy trends in Sweden.
- The reported low case-fatality rate is a significant public health achievement.
- This data provides valuable insights for reproductive health surveillance and clinical management strategies.