Ectopic pregnancy in Dalhatu Araf Specialist Hospital Lafia Nigeria – A 5-year review

Ononuju, Chidiebere Nwakamma; Ogbe, Adejo Emmanuel; Changkat, Lucky Lohnan; Okwaraoha, Blaise Ogedi; Chinaka, Uzoma Emmanuel

doi:10.4103/npmj.npmj_105_19

Cited by 6 publications

(11 citation statements)

References 3 publications

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“…Over the period reviewed, the incidence of ectopic pregnancy in RSUTH is 2.1% (21 per 1000 deliveries) or 1 in 47 deliveries. This corroborates the findings of 2.1% in Abakaliki [16], and similar to findings from other studies within Nigeria, (2.3%) in Lagos [10] and Benin [17]; but higher than the findings of 1.3% in Nnewi [8] and others [18,19]. The variation in the incidence across centres within Nigeria could be due to differences in the determinants of the occurrence in the regions.…”

Section: Discussionsupporting

confidence: 91%

“…Seventy eight percent of cases occurred in young women between the age of 21 and 35 years with the modal age group being 26 to 30 years. This finding corroborates the finding of Abubarka et al [11] in Sokoto and Ononuju et al [18] in Lafia Northern Nigeria, where the mostly affected age group was 26 to 30 years respectively, and similar to the findings of, Udigwe et al [8], Etuknwa et al [24] and Ugboma et al [26]. This age group corresponds to the age of prime reproduction and peak of sexual activity with increased risk for ectopic pregnancy.…”

Section: Discussionsupporting

confidence: 91%

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Ectopic pregnancy in Rivers State University Teaching Hospital, Port Harcourt, southern Nigeria: a five- year review

Wekere¹,

Ijeoma²,

Ledee³

2020

World J. Adv. Res. Rev.

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Ectopic pregnancy remains a dire gynaecological emergency associated with increased morbidity and mortality if not diagnosed and managed promptly. The incidence is increasing among women of reproductive age, and of public health importance. To determine the incidence, yearly trend, common risk factors, clinical presentations, mode and outcome of management of ectopic pregnancy in Rivers State University Teaching Hospital (RSUTH). This is a retrospective study of all cases of ectopic pregnancy managed at RSUTH from 1 st January, 2015 to 31 st December, 2019. Data was analysed using Statistical Package for Social Sciences (SPSS) IBM version 25.0 (Armonk, NY). Over the study period, there were 13,516 deliveries, 8863 gynaecological admissions, and 279 cases of ectopic pregnancy managed. The incidence of ectopic pregnancy in RSUTH is 2.1% (21/1000 deliveries) or 1 in 47 deliveries. Ectopic pregnancy accounts for 3.2% or 32 per 1000 gynaecological admissions. The mean age of patients was 29.1 SD 5.8 years, (95% CI, 28.5 to 29.8). Majority of the patients 272 (97.5%) and 139 (69.8%) had tubal ectopic pregnancy and tertiary level of education respectively. Tubal pregnancy occurred more on the right tube 176 (63%) compared to left tube 102 (37%). The commonest treatment option was unilateral salpingectomy 276 (98.9%). The mean duration of operation for ectopic pregnancy was 51.3 SD 18.2 minutes, (95% CI, 49.1 to 53.41). Ectopic pregnancy is common and of increasing trend in our setting. Most of the patients presented late with ruptured ectopic pregnancy and its complications. Improved health seeking behaviour, early diagnosis and prompt treatment would improve clinical outcome.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 91%

Ectopic pregnancy in Rivers State University Teaching Hospital, Port Harcourt, southern Nigeria: a five- year review

Wekere¹,

Ijeoma²,

Ledee³

2020

World J. Adv. Res. Rev.

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“…The main studies estimate an incidence of 2% in the case of spontaneous pregnancy, reaching up to 5% in the case of ART (17).…”

Section: Ectopic Pregnancy (Ep)mentioning

confidence: 99%

“…Risk factors are an important target to study and we believe the analysis should be focused on the impact on microbiota in the upper genital tract; from the more classic maternal age, consumption of tobacco, precedents in pelvic infections, previous EP, previous damage to fallopian tubes (such as obstruction), or abdominal surgery (17).…”

Section: Ectopic Pregnancy (Ep)mentioning

confidence: 99%

Ectopic pregnancies and endometrial microbiota

Aguilera

García

Quevedo

2021

Current Opinion in Obstetrics &Amp; Gynecology

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In recent years there has been significant progress in the study of endometrial microbiota. This line of investigation has not been free of controversy and discussion. It is key for clinicians involved to remain updated with the most recent findings in microbiome and its clinical implications to be able to offer patients all possible treatments. Recent findingsThe existence of endometrial microbiota now seems undisputed. Current lines of work are centered on dysbiosis and its connection to other pathologies. It is in the field of assisted reproductive technology (ART) where this research plays an even more crucial role. In this case, we are focusing our attention towards the study of ectopic pregnancies (EP), searching for similarities in their etiopathogenesis and alterations in the endometrial microbiota.

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“…Ectopic pregnancy (EP) accounts for ~2% of all pregnancies. It is a common life-threatening emergency and an important cause of maternal morbidity and mortality, as well as fetal loss ( 1 – 3 ). Although mortality due to EP has declined sharply in recent years, the incidence of EP is still steadily rising at a global level ( 4 , 5 ).…”

Section: Introductionmentioning

confidence: 99%

Risk Factors of Recurrent Ectopic Pregnancy in Patients Treated With in vitro Fertilization Cycles: A Matched Case-Control Study

Shi

et al. 2020

Front. Endocrinol.

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Objective: To study the risk factors for recurrent ectopic pregnancy (REP) in patients undergoing in vitro fertilization (IVF). Methods: This was a 1:4 matched case-control study that enrolled 227 REP patients and 908 matched intrauterine pregnancy (IUP) patients from the assisted reproductive technology (ART) center of the First Affiliated Hospital of Zhengzhou University from January 2012 to November 2019. Univariate analysis was carried out between the two groups for the occurrence of REP. Multivariate logistic regression analysis was used to explore the risk factors of REP after IVF. Results: The results of univariate analysis showed that there were significant differences in previous treatment of EP, stage of embryo and the number of embryos transferred between the two groups (all P < 0.05). The other factors did not have a significant effect on the probability of developing REP. Multivariate logistic regression analysis showed that after adjusting for confounders, previous treatment of EP, type of embryos transferred and stage of embryo were related to the occurrence of REP (all P < 0.05). Conclusion: Conservative treatment, frozen-thawed embryo transfer and cleavage embryo transfer were independent risk factors for REP after ART treatment.

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Ectopic pregnancy in Dalhatu Araf Specialist Hospital Lafia Nigeria – A 5-year review

Cited by 6 publications

References 3 publications

Ectopic pregnancy in Rivers State University Teaching Hospital, Port Harcourt, southern Nigeria: a five- year review

Ectopic pregnancy in Rivers State University Teaching Hospital, Port Harcourt, southern Nigeria: a five- year review

Ectopic pregnancies and endometrial microbiota

Risk Factors of Recurrent Ectopic Pregnancy in Patients Treated With in vitro Fertilization Cycles: A Matched Case-Control Study

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