Ectopic pregnancy in Sokoto, Northern Nigeria

Airede, LR; Ekele, BA

doi:10.4314/mmj.v17i1.10864

Cited by 11 publications

(17 citation statements)

References 6 publications

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“…Studies from Nigeria showed that the incidence in Sokoto in Northern Nigeria was 18.1 per 1,000 deliveries [15], while it increased, between 1977 -1987, from 0.4% to 1.7% at Ile-Ife in Southwest Nigeria [16]. These public institution-based reports may not refl ect the true incidence in our environment.…”

Section: Discussionmentioning

confidence: 94%

The Use of Abdominal Paracentesis in the Diagnosis of Ectopic Pregnancy in a Resource – Limited Setting

Jo¹,

Aa²

2017

J Gynecol Res Obstet

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Ectopic pregnancy remains an important cause of morbidity and mortality in the fi rst trimester of pregnancy, and has become a major public health challenge among women in the reproductive age group in this environment. A review of 139 consecutive cases of tubal ectopic gestations managed over a fi ve year period at the Ekiti State University Teaching Hospital, Ado -Ekiti, Nigeria was conducted. Ectopic pregnancies accounted for 1.8% of all deliveries. Most of the women were married (68.3%), between 26 -30 years (28.8%) and of low parity [0 and 1] (61.9%), and all had abdominal pain. Induced abortion (72.7%) was the commonest factor and the levonorgestrel-containing pill was the commonest contraceptive (19/43) associated with ectopic pregnancy. 16.5% were severely anaemic at presentation, 1 in 6 women had prior uterine evacuation as a result of wrong diagnosis, 26.7% had massive haemoperitoneum (≥2000 millilitres) and salpingectomy (84.1%) was the commonest operative procedure. Paracentesis was positive in 84.6% of cases and negative in the only unruptured case. The correct diagnosis was missed in a third of the patients at presentation. The case fatality rate was 0.7%.While improved diagnostic methods will reduce late presentations and tubal rupture, thereby improving the chances of tubal salvage and future reproductive outcome, a diagnostic algorithm that will include abdominal paracentesis may help to increase the pickup rate of ectopic pregnancy and be an impetus for immediate intervention in resource-poor settings.

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Section: Discussionmentioning

confidence: 94%

The Use of Abdominal Paracentesis in the Diagnosis of Ectopic Pregnancy in a Resource – Limited Setting

Jo¹,

Aa²

2017

J Gynecol Res Obstet

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“…Promotion of family planning, early treatment of pelvic inflammatory disease and good quality obstetric care could be important preventive intervention. Abdominal pain and tenderness are the most frequent sign and symptom of ectopic pregnancy (Airede & Ekele, 2005). Diagnosis was usually based on clinical findings augmented by procedures such as parencentesis abdominis, abdominal and pelvic examination, and urine pregnancy test.…”

Section: Discussionmentioning

confidence: 99%

“…Data obtained from various studies from different parts of Nigeria, showed that the perceived lower prevalence of chronic pelvic inflammation in the northern part of Nigeria might explain the comparatively lower incidence of ruptured tubal pregnancy (Essel et al, 1980). The incidence of ectopic pregnancy in two cities in northern Nigeria is 18.1 / 1000 deliveries in Sokoto (Airede & Ekele, 2005) and 1.14 % in Zaria (Adesiyun et al, 2001). It is 1.7% in Jos (Olarewaju et al, 1994) and 1.68 % in Benin City, Nigeria (Gharoro & Igbafe, 2002).…”

Section: Incidence Of Ectopic Pregnancymentioning

confidence: 99%

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Management and Outcome of Ectopic Pregnancy in Developing Countries

Dabota¹

2011

Ectopic Pregnancy - Modern Diagnosis and Management

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“…One out of every 100 pregnant women is ectopic with the most common site being within a fallopian tube (Walker et al 2007). Morbidity and Mortality of ectopic pregnancy in the first trimester remains the mainly maternal mortality and morbidity (Grimes.1994, Airede. 2005, Okunlola.…”

Section: Introductionmentioning

confidence: 99%

The Role of Some Cytokines in Ectopic Pregnancy in Iraq-Thiqar

Chali¹,

Tjprc²

2018

IJMPS

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Mean±SD Serum concentration levels of IL1RA for ectopic pregnancy and controls group were (9.3375±3.260ng/ml), (2.1151±1.16ng/ml) respectively and this difference was highly significant (P value 0.00), while IL2 concentration Mean±SD in ectopic pregnancy was (2.2582±1.224ng/ml) and control group was (4.9923±1.59ng/ml) (P<0.05) with no statistically significance, Serum concentration level of IL6 for ectopic pregnancy was (23.2508±7.18 Pg/ml) while controls group was (9.0025±2.74 Pg/ml) with statistically significant differences (P value 0.00), IL8 level in ectopic pregnancy and controls show (76.9892±19.8 Pg/ml), (26.5498±11.85 Pg/ml) respectively and this different were statistically significant (P value 0.00).Serum concentration levels of TNFα for ectopic pregnancy and controls group were (31.5328±10.22 Pg/ml), (9.5346±10.22 Pg/ml) respectively this different was statistic significant (P value 0.00).

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Ectopic pregnancy in Sokoto, Northern Nigeria

Cited by 11 publications

References 6 publications

The Use of Abdominal Paracentesis in the Diagnosis of Ectopic Pregnancy in a Resource – Limited Setting

The Use of Abdominal Paracentesis in the Diagnosis of Ectopic Pregnancy in a Resource – Limited Setting

Management and Outcome of Ectopic Pregnancy in Developing Countries

The Role of Some Cytokines in Ectopic Pregnancy in Iraq-Thiqar

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