The incidence of ectopic pregnancy in Hordaland county, Norway 1976–1993

Storeide, O; Veholmen, Marit; Eide, Martha G; Bergsjø, Per; Sandvei, Roar

doi:10.1111/j.1600-0412.1997.tb07990.x

Cited by 59 publications

(31 citation statements)

References 14 publications

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“…In a similar study conducted in Norway between 1976 and 1993, the incidence of ectopic pregnancy increased from 1.4% to 2.2% of live births. [4].Though ectopic pregnancy is the leading cause of pregnancy-related death in early pregnancy [5], in developed countries like USA, the UK and most countries in Europe there is a steady decline of ectopic pregnancy case fatality rates despite the documented increase in prevalence [6] [7]. Unfortunately the same cannot be said with developing countries as many hospital based studies from the region reported a 10 times higher case-fatality rate compared to develop countries [8].…”

Section: Introductionmentioning

confidence: 56%

Ectopic Pregnancy in a Referral Hospital in the Volta Region of Ghana West Africa

Oppong¹,

Agbemenyah²,

Afeke³

et al. 2016

OALib

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Background: Ectopic pregnancy is still a global problem for women of reproductive age with increasing burden of the disease and increasing mortality especially for women living developing world like Africa. In Ghana studies evaluating the burden of ectopic pregnancy have been conducted in major centres like Korle-Bu and KATH but few in other centres. This study tends to evaluate the prevalence, clinical presentation and finding of ectopic pregnancy in a referral hospital in the Volta region of Ghana. Methodology: This was a 3 years (2013)(2014)(2015)(2016) retrospective review of all gynaecological admission in the Volta regional hospital. All ectopic pregnancy cases/ record were identified, retrieved and information on the socio-demographics, clinical presentations, intraoperative findings and outcome of surgery were all extracted for analysis. Result: A prevalence of 2.05% (53/2582) was recorded over the study period. 58.5% (31/53) of the women were married and between the age group of 21 -30. 47.2% (25/53) had primary school education. Lower abdominal pain was common in 98.1% (52//53), 69.2% (37/53) had vaginal bleeding while 96.4% (51/53). Fallopian tube pregnancy was seen in 96.2% (51/53) while 3.8% (2/53) were abdominal pregnancy. Tubal rupture and heamoperitoneum were seen in 73.6% (39/53) of the women. 78.4% (40/51) of the fallopian tube pregnancy occurred at the ampulla. All the women in this study were successfully managed with radical surgery. Conclusion: There is still the need to evaluate the prevalence of ectopic pregnancy in the region. Proper education of women of reproductive age and provision of equipment and skills to enable early diagnosis of ectopic pregnancy is very necessary in ensuring less radical and traumatic management with less implication on fertility of women post-surgery.

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Section: Introductionmentioning

confidence: 56%

Ectopic Pregnancy in a Referral Hospital in the Volta Region of Ghana West Africa

Oppong¹,

Agbemenyah²,

Afeke³

et al. 2016

OALib

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“…Patients with ectopic pregnancy were found of a lower parity in some descriptive studies from Nigeria [12,22]. However, recent studies have shown a significantly increased risk of EP in women aged 40 and over 40 years [23,24]. Cumulative risk factors associated with getting pregnant at an older age were cited as being responsible for this increased risk of EP with age.…”

Section: Discussionmentioning

confidence: 99%

Ectopic pregnancy: A Nigerian urban experience

Tom

Okpara

Imo

et al. 2012

Korean J Obstet Gynecol

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“…Ectopic pregnancy is a leading cause of pregnancy-related death in early pregnancy increasing in incidence worldwide 1,2 . Fortunately, after the advent of high-resolution transvaginal ultrasonography and beta subunit of hCG (betahCG) tests, the accurate diagnosis of ectopic pregnancy(EP) can now be made at an early stage.…”

Section: Introductionmentioning

confidence: 99%

A Comparative Study Between Laparoscopic Management of Ectopic Pregnancy and Laparotomy: Experience in Tertiary Care Hospital in Bangladesh: A Prospective Trial

Jahan

Das

Habib³

et al. 2014

Bangla J. Endosurg.

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Objectives: To compare the efficiency and surgical morbidity associated with laparoscopic management of tubal ectopic pregnancy (EP) compared with that of open laparotomy. Materials and methods: During November 2008 to October 2012, there were 89 with a confirmed ectopic pregnancy These patients were admitted through emergency or outpatient department and managed by laparoscopy (number 70) and by laparotomy (number 19). The diagnosis of ectopic pregnancy was based on history, clinical symptoms, physical examination, a positive serum B-human chorionic gonadotropin (B-HCG), transvaginal ultrasonography. Patients were informed pre-operatively about the surgical procedures. The main outcome measured included operative time, blood loss, and complications. Results: Laparoscopic surgery gives an overall success rate of 98.9%. Linear salpingostomy was the main procedure performed in both groups. Estimated blood loss was significantly lower in the laparoscopy group compared with laparotomy group (p<0.001). Only 3 (3.81%) patients in the laparoscopy group required blood transfusion, whereas 16 (74.94%) in the laparotomy group needed transfusion (P<0.0001). The duration of operation in laparoscopy group was 53.2 ± 16.8 minutes and 84.5 ± 30.3 minutes in the laparotomy group. The duration of hospitalization was significantly shorter in the laparoscopy group 1.12±0.5 days compared to 5.25±0.1days in the laparotomy group (p<0.0001). ). In the laparoscopy group 57(72.4%) patients did not need analgesia after surgery compared with laparotomy group where all the patients needed analgesia. Conclusion: Laparoscopic treatment (Salpingostomy or Salpingectomy) of EPs offers major benefits superior to laparotomy in terms of less blood loss, less need for blood transfusion and postoperative analgesia, a shorter duration of hospital stay. Laparoscopic management of ectopic pregnancy might be the most beneficial procedure with maximal safety and efficacy.

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The incidence of ectopic pregnancy in Hordaland county, Norway 1976–1993

Cited by 59 publications

References 14 publications

Ectopic Pregnancy in a Referral Hospital in the Volta Region of Ghana West Africa

Ectopic Pregnancy in a Referral Hospital in the Volta Region of Ghana West Africa

Ectopic pregnancy: A Nigerian urban experience

A Comparative Study Between Laparoscopic Management of Ectopic Pregnancy and Laparotomy: Experience in Tertiary Care Hospital in Bangladesh: A Prospective Trial

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