Abstract

Thesis

Ectopic Pregnancy Risk Factors Presentation and Management Outcomes

Awadalla Abdelwahid Suliman*, Hajar Suliman Ibrahim Ahmed, Kabbashi Mohammed Adam Hammad, Ibtehal Jaffer Youssef Alsiddig, Mohamed Abdalla Elamin Abdelgader, Abdallah Omer Elzein Elhag and Safa Mohamed Ibrahim

Published: 29 September, 2023 | Volume 8 - Issue 3 | Pages: 143-149

Background: Ectopic pregnancy (EP) is a common and serious early pregnancy problem with a significant morbidity rate and the potential for maternal death. Women commonly present with minimal vaginal bleeding and abdominal pain.
Objective: The main objective of the study was to evaluate the risk factors, clinical presentation, sites, and management outcomes of ectopic pregnancies. 
Methodology: It was a prospective descriptive, cross-sectional hospital-based study conducted at Bashair Teaching Hospital during the period January 2021–June 2021.
An interview questionnaire was used, and eighty-two (82) women were included after informed consent. Demographic and clinical data concerning personal history, symptoms of presentation, risk, site, and type of management were recorded.
Results: Ectopic pregnancy incidence was 2% and most risk factors were infection 29.3%, surgery 15.9%, miscarriage 13.4%, infertility 12.2%, tubal surgery 4.9%, previous ectopic pregnancy 4.9%, intrauterine contraceptive device (IUCD) 3.6%, and tubal ligation 2.4%. Women presented with bleeding and abdominal pain at 47.5%, bleeding at 18.3%, abdominal pain at 9.7%, and shock at 8.5%.
The sites are ampullary (57.3%), fimbria (9.7%), interstitial (8.5%), isthmus (8.5%), ovarian (7.3%), cervical (4.8%), and abdominal (3.6%).
Surgical management was 93.9%, medical and surgical management was 3.6% and medical management was 2.4%. A blood transfusion was received at 37.8%.
Conclusion: The study concluded that women of reproductive age are at risk of ectopic pregnancy, so healthcare providers and doctors should have a high index of suspicion, prompt diagnosis, and intervention for ectopic pregnancy. Assessment of women at risk factors and modifications will reduce incidence. 

Read Full Article HTML DOI: 10.29328/journal.cjog.1001143 Cite this Article Read Full Article PDF

Keywords:

Ectopic; Pregnancy; Risk; Presentation; Management; Outcomes

References

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