Risk of ectopic pregnancy and previous induced abortion.

Tharaux-Deneux, C; Bouyer, Jean; Job‐Spira, Nadine; Coste, Joël; Spira, Alfred

doi:10.2105/ajph.88.3.401

Cited by 39 publications

(27 citation statements)

References 16 publications

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“…Multiple induced abortions as risk factor for ectopic pregnancy is well established (11)(12)(13)(14)(15)(16). This finding confirms one of the earlier prospective studies in the department (3) and is consistent with internationally identified risk factor for the overall increase in the incidence of ectopic pregnancy.…”

Section: Discussionsupporting

confidence: 88%

Ectopic pregnancy revisited in Benin City, Nigeria: analysis of 152 cases

Gharoro

Igbafe

2002

Acta Obstetricia Et Gynecologica Scandinavica

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Section: Discussionsupporting

confidence: 88%

Ectopic pregnancy revisited in Benin City, Nigeria: analysis of 152 cases

Gharoro

Igbafe

2002

Acta Obstetricia Et Gynecologica Scandinavica

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“…A large percentage of the patients in the study had one or more induced abortions, which are illegally performed in the community, because of the very restrictive laws on abortion. Multiple induced abortions as risk factor for ectopic pregnancy is well established (11)(12)(13)(14)(15)(16). The study scenario of multiple illegal abortions is coherent as the level of women actively contracepting is low in the society, which also has a restrictive abortion laws in place.…”

Section: Discussionmentioning

confidence: 99%

Ectopic pregnancy revisited in Benin City, Nigeria: analysis of 152 cases

Igbafe

2002

Acta Obstet Gynecol Scand

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Background. Ectopic pregnancy is still a major health problem among women of childbearing age in our community. The majority of the patients with ectopic pregnancy are nulliparous in their mid twenties, with previous induced abortion(s) and or pelvic inflammatory disease. It remains a major challenge to the reproductive performance of women worldwide. Objective. The study is an analysis of the clinical profile of patients presenting with ectopic pregnancy, to investigate the current status of the incidence, predisposing risk factors and the management options available in Benin. Materials and methods. One hundred and fifty two cases of ectopic pregnancies managed at the University of Benin Teaching Hospital (UBTH) between January 1994 and December 1998 were analyzed. Clinical and socio-biological information were retrieved from patients' case notes, and supplemented by information from the operating theatre and ward registers. Results. The incidence of ectopic pregnancy during this study period was 1. 68% of total births and 6.74% of and gynecologic admissions. Nulliparous patients were 49.3%, while the peak age of incidence was 20-25 years. 95/152 (62.5%) of the patients had previous induced abortion(s), while pelvic adhesions were noted in 62/152 (40.85ϳ%). 67.8% of the patients were not using any method of contraception, while 13.8% and 9.2% were using lUD and barrier methods, respectively. Abdominal pain, 2ae amenorrhoea and irregular vaginal bleeding (83.6%, 77.5% and 73.7%, respectively) were the most frequent presenting complaints. 75/152 of the patients (49.3%) were in a state of shock, and 80.3% had ruptured tubal pregnancy at presentation. All patients had laparotomy, 54.6% and 34.9% had right and left salpingectomy, respectively. 831/52 of the patients (54.6%) had autotransfusion during surgery. Conclusion. In Benin, the majority of the patients with ectopic pregnancy are nulliparous in their mid twenties, with history of previous induced abortion(s) and or pelvic inflammatory disease. Management option is limited to laparotomy and salpingectomy.

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“…Holt et al (1989) [24] reported that induced abortion does not increase the risk of EP. However, Tharaux-Deneux and her colleagues (1998) [25] wrote that induced abortions did significantly increased the risk of EP in succeeding years. In Saudi Arabia, the practice of induced abortions does not exist.…”

Section: Discussionmentioning

confidence: 99%

Trends in Ectopic Pregnancies in Eastern Saudi Arabia

Al-Turki

2013

ISRN Obstetrics and Gynecology

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Background. The objective of this study was to estimate trends in ectopic pregnancies (EP) in a tertiary care center of Eastern Saudi Arabia. Method. Information about patients with ectopic pregnancies who had been admitted to King Fahd Hospital of the University, AlKhobar, between January 2000 and 31 December 2011 was collected from a computerized hospital registry. Age-specific ectopic pregnancy incidence was calculated. The data was analyzed using SPSS (Statistical Package for the Social Sciences), version 14.0 (Chicago, IL, USA). Results. There were 274 EPs during the study period; the yearly incidence in terms of 24,098 deliveries was 1.19%. The average age was 28.99 Å 5.62 years. During a three-year period (2000–2002), the incidence was 0.92%; from 2003 to 2005, the incidence was 1.01%; from 2006 to 2008, the incidence was 1.51%; and from 2009 to 2011, the incidence was 1.35%. Age-adjusted ectopic pregnancy incidence rates steadily increased from 92.23 per 10,000 women years during the period 2000–2002 to 149.408 during the 2006–2008 period; since then, it has declined to 110.313 per 10,000 women years. Conclusions. Our study reveals that the incidence of EP has decreased from what it had been during the mid-2000s but has remained significantly elevated when compared to the early 2000s.

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Risk of ectopic pregnancy and previous induced abortion.

Cited by 39 publications

References 16 publications

Ectopic pregnancy revisited in Benin City, Nigeria: analysis of 152 cases

Ectopic pregnancy revisited in Benin City, Nigeria: analysis of 152 cases

Ectopic pregnancy revisited in Benin City, Nigeria: analysis of 152 cases

Trends in Ectopic Pregnancies in Eastern Saudi Arabia

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