Ectopic pregnancy, the need for standardisation of rate

Salman, Ghada; Irvine, L. M.

doi:10.1080/01443610701814344

Cited by 10 publications

(4 citation statements)

References 18 publications

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“…Hence, controversy has arisen over the best denominator in reporting the incidence of EP. The three commonly used denominators are the number of births, the number of pregnancies and the number of women of reproductive age that has been also previously described [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Trend of ectopic pregnancy and its main determinants in Hamadan province, Iran (2000-2010)

2014

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BackgroundEctopic pregnancy remains a major gynaecologyical problem in contemporary gynaecological practice. The purpose of this study was to determine the incidence and some risk factors of ectopic pregnancy in Hamadan province during 2000-2010.MethodsThis was a retrospective descriptive study carried out at hospitals in Hamadan provience, Iran. A total of 872 women with the diagnosis of ectopic pregnancy between 2000 to 2010 were recruited. At initial assessment, 872 medical records were targeted for the assessment, while because of incompleteness of some recorded information, 521 files were finally assessed.ResultsThe overall incidence of ectopic pregnancy was estimated to be 2.6 per 1000 recorded pregnancies. While, considerably increased from 1.5 per 1000 pregnancy in 2000 to 4.8 per 1000 pregnancies in 2010. More than half of the women aged 25 to 34 years. 48.2% of selected women were using contraception methods. 5.2%, 14.0% and 5.6% of women had pervious ectopic pregnancy, first or second infertility and pelvic inflammatory diseases, respectively.ConclusionIncreasing trend of the incidence of ectopic pregnancy is expected due to development and availability of minute diagnostic approaches and also some baseline amendable (contraceptive methods and surgical interventions) and unchangeable (age of pregnancy and residency) parameters.

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Section: Discussionmentioning

confidence: 99%

Trend of ectopic pregnancy and its main determinants in Hamadan province, Iran (2000-2010)

2014

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“…This range likely reflects differences in how rates are calculated and reported (21) as well as true variation in incidence among populations. Ectopic pregnancy is a potentially life-threatening condition, and accurate assessment of its risk factors is an important step in helping clinicians, public health professionals and pharmaceutical regulatory bodies generate optimal guidelines for women’s health.…”

Section: Introductionmentioning

confidence: 99%

Ectopic Pregnancy and Emergency Contraceptive Pills

Cleland

Raymond

Trussell

et al. 2010

Obstetrics &Amp; Gynecology

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Objective To evaluate the existing data to estimate the rate of ectopic pregnancy among emergency contraceptive pill treatment failures. Data Sources Our initial reference list was generated from a 2008 Cochrane review of emergency contraception. In August 2009, we searched Biosys Previews, the Cochrane Database of Systematic Reviews, Medline, Global Health Database, Health Source: Popline, and Wanfang Data (a Chinese database). Methods of Study Selection This study included data from 136 studies which followed a defined population of women treated one time with emergency contraceptive pills (either mifepristone or levonorgestrel), and in which the number and location of pregnancies were ascertained. Results Data from each article were abstracted independently by two reviewers. In the studies of mifepristone, 3 out of 494 (0.6%) pregnancies were ectopic; in the levonorgestrel studies, 3 out of 307 (1%) were ectopic. Conclusion The rate of ectopic pregnancy when treatment with emergency contraceptive pills fails does not exceed the rate observed in the general population. Since emergency contraceptive pills are effective in lowering the risk of pregnancy, their use should reduce the chance that an act of intercourse will result in ectopic pregnancy.

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“…Il n'y a pas d'accord sur le « bon » dénominateur -nombre de femmes en âge de procréer (15-44 ans), ou nombre de conceptions ou de grossesses, enfin nombre d'accouchements ou de naissances (vivantes, éventuelle-ment) -permettant d'en estimer l'incidence. Il en résulte une large variation des fréquences rapportées dans la littérature [34]. Le dernier rapport du Royaume-Uni sur les morts maternelles [35] produit une estimation du nombre et du taux de GEU en rapportant le nombre de GEU à une estimation du nombre de conceptions.…”

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