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

Abstract

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.

A study of incidence, risk factors, clinical profile and management of 50 cases of ectopic pregnancy in a tertiary care teaching hospital

“…They found that the incidence of ectopic pregnancy increased from 1.5 per 1000 pregnancy in 2000 to 4.8 per 1000 pregnancy in 2010. 17 In the present study, 82 % of women were in the age group of 20-30 years. Similar to our study, most studies reported that majority of women diagnosed with ectopic pregnancy belonged to this age group.…”

Clinical presentation and outcome of ectopic pregnancies in a tertiary care rural hospital

“…Multiple risk factors for ectopic pregnancy were observed by us but history of previous abortion (47.5%) was the commonest amongst all and is same as reported others. 9,11,12,13,14,15,16 History of Pelvic Inflammatory Disease (PID) was seen in 20% of our women which is similar to that observed by Singh et al, and Mufti et al Urine for pregnancy test and utrasonography are noninvasive and economical tests recommended to aid the diagnosis of ectopic pregnancy and these were positive in most of our women. 7,9,12 Blood loss and pain due to ruptured ectopic pregnancy results in anaemia, hypovolemic and neurogenic shock and requires immediate surgical intervention along with blood transfusions.…”

Risk factors for recurrent ectopic pregnancy: a case–control study

“…Although mortality due to EP has declined sharply in recent years, the incidence of EP is still steadily rising at a global level . Accordingly, the number of women diagnosed with REP is increasing .…”

“…3 Although mortality due to EP has declined sharply in recent years, the incidence of EP is still steadily rising at a global level. 1,4,5 Accordingly, the number of women diagnosed with REP is increasing. 5 Among women with history of previous EP the risk of REP ranges from 10-27%, approximately five to ten times the general population risk for EP.…”