Ectopic Pregnancy in Ilorin, Nigeria
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Date
2013
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Journal ISSN
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Publisher
National Postgraduate Medical College of Nigeria
Abstract
Aims and Objectives: This is to study the incidence, predisposing factors, clinical
presentation and management of ectopic pregnancy that presented over a four
year period.
Patients, Materials and Methods: This is a retrospective study of 98 ectopic
pregnancies managed at the gynaecological unit of University of Ilorin Teaching
Hospital, Ilorin from 1st January 2004 to 31st December 2007. Information was
obtained from the case notes, theatre and labour ward registers.
Results: A total of 10,054 deliveries were recorded while 1,430 gynaecological
patients were admitted. Ninety eight patients had ectopic gestation accounting
for 1% of all deliveries and 6.9% of all gynaecological admissions. The peak age
group was 25-29 years (33%); 70 (74.5%) were married and 16 (17%) were
students mostly undergraduates. Previous pelvic inflammatory disease 78 (83%),
previous pelvic surgery 7 (7.4%) and previous history of ectopic pregnancy 2
(2.1%) were the most common risk factors in the patients. Lower abdominal pain
90 (95.7%), missed period 82 (87.2%), dizziness/fainting attack 57( 60.6%) and
vaginal bleeding 50 (53.2%) were the predominant symptoms at presentation.
There were 2 (2.1%) bilateral ampullary tubal ectopic with one unruptured ectopic
which was treated with linear salpingostomy. Only one (1.1%) case of
heterotrophic pregnancy. Open abdominal surgery was the treatment employed
in all the patients. No Mortality was recorded.
Conclusion: The incidence of ectopic pregnancy can be reduced by putting in
place measures to reduce induced abortion and pelvic inflammatory disease.
In addition, early presentation, prompt diagnosis and efficient blood transfusion
services will decrease the morbidity and mortality associated with ectopic pregnancy.
Description
Keywords
ectopic pregnancy, clinical presentation, management, Nigeria