Ectopic pregnancy experience in a tertiary health facility in South-South Nigeria

Authors

  • Celestine osita John University of Port Harcourt Port Harcourt
  • Justina omoikhefe Alegbeleye

DOI:

https://doi.org/10.60787/tnhj.v16i1.204

Keywords:

ectopic pregnancy, amenorrhea, abdominal pain, case fatality, ruptured ectopic

Abstract

Background: Ectopic pregnancy is a life-threatening gynecological emergency, and a significant cause of maternal morbidity and mortality in Nigeria.

Objective: To determine the incidence, clinical presenta­tion, risk factors and management outcomes of ectopic pregnancies in a tertiary health facility.

Methods: A retrospective study of all cases of ectopic pregnancies managed at the University of Port Harcourt Teaching Hospital (UPTH) from January 1, 2011 to December 31, 2015 was conducted. Data collected with the aid of data-entry forms designed for this purpose were analyzed using statistical package SPSS 20.

Results:  There were 2,579 gynecological admis­sions with 414 cases of ectopic pregnancies managed. Ectopic pregnancy constituted 16.1% of all gynecological admissions, and its incidence was 3.3%. A total of 345 cases were suitable for analysis. The mean age of the patients was 27.9 ± 5 years. 330 women (95.7%) had ruptured ectopic pregnancies. The commonest clinical presentation were abdominal pain and amenorrhoea in 99.7%.  The commonest identified risk factor was a previous history of induced abortion in 328 women (95.1%). Two deaths were recorded, giving a case-fatality rate of 0.6% .

Conclusion: Majority of the patients presented with ruptured ectopic pregnancy. This has adverse effect in a society that places a high premium on child bearing. Early diagnosis, identifying of risk factors and timely intervention in the form of medical or surgical treatment will go a long way in reducing the morbidity and mortality associated with ectopic pregnancy.

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Author Biographies

Celestine osita John, University of Port Harcourt Port Harcourt

Lecturer and Consultant Obstetrician and Gyneacologist

Justina omoikhefe Alegbeleye

LECTURER 1, CONSULTANT OBSTETRICS AND GYNAECOLOGY

References

Walker JJ. Ectopic pregnancy. Clin Obstet Gynecol 2007; 50: 89–99.

Jurkovic D. Ectopic pregnancy. In: Edmonds K, editor. Dewhurst`s Textbook of Obstetrics and Gynaecology for postgraduates. 7th. Ed. Oxford: Blackwell Science; 2007:106-116.

Panti A, Ikechukwu NE, lukman OO, Yakubu A, Egondu SC, Tanko BA. Ectopic pregnancy at Usmanu Danfodiyo University Teaching Hospital Sokoto: a ten year review. Ann Niger Med 2012; 6(2): 87–91.

Abdul FI. Ectopic pregnancy in Ilorin: a review of 278 cases. Niger J Med 2000; 9(3):92–96.

Erickson BT. Ectopic pregnancy. In: Bader T, editor. Obstetrics and Gynaecology secrets. 3rd ed. Maryland Heights: Mosby; 2007:109–113.

Gharoro EP, Igbafe AA. Ectopic pregnancy revisited in Benin City, Nigeria: analysis of 152 cases. Acta Obstet Gynecol Scand 2002; 81(12): 1139–1143.

Monga A. Ectopic pregnancy. In: Monga A, Baker P, editors. Gynaecology by Ten Teachers. 18th ed. London: Hodder Education; 2006:97–99.

Mukul LV, Teal SB. Current management of ectopic pregnancy. Obstet Gynecol Clin North Am 2007; 34(3):403–419.

Otubu JAM, Pam IC. Ectopic pregnancy. In: Agboola A, editor. Textbook of Obstetrics and Gynaecology for Medical Students. 2nd ed. Ibadan, Nigeria: Heinemann; 2006:101–105.

Drife JS. Tubal pregnancy: rising incidence, earlier diagnosis, more conservative management. Br Med J 1990; 301:1057–1058.

Ankum WM, Mol BW, Van der Veen F, Bossuyt PM. Risk factors in ectopic pregnancy. Fertil Steril. 1996;65(6):1093–1099.

Kim HH, Fox JH. The fallopian tube and ectopic pregnancy. In: Ryan KJ, Berkowitz RS, et al (editors). Kistner’s Gynecology and Women’s Health. New York: Mosby Inc; 1999:143–165.

Gant NF, Cunningham FG, editors. Ectopic pregnancy. In: Basic Gyne¬cology and Obstetrics. Norwalk: Appleton & Lange; 1993:60–69.

Confidential Enquiries into Maternal and Child Health. Why Mothers Die – 2000–2002: The Sixth Report of the Confidential Enquiries into Maternal Deaths in the United Kingdom, 2000−2002. London: RCOG press; 2004.

Omole-ohonsi A, Olayinka HT, Attah RA. Ectopic Pregnancy at Aminu Kano Teaching Hospital, Kano, Nigeria. Trop J Obstet Gynaecol 2011; 28(1):58-63.

Airede LR, Ekele BA. Ectopic Pregnancy in Sokoto, Northern Nigeria. Malawi Medical Journal, 2005.17(1): 14-16.

Udigwe GO, Umeonunihu OS, Mbachu II.Ectopic Pregnancy: A Five Year Review Of cases at Nnamdi Azikiwe University Teaching Hospital (NAUTH), Nnewi, Nigeria. Niger J Med 2010, 51(4):160-165.

Igberase GO, Ebeigbe PN, Igbeboji OF, Ajupo BI. Ectopic pregnancy: an 11-year review in a tertiary center in the Niger Delta. Trop Doct 2005; 35(3):175–177.

Anorlu RI, Oluwole A, Abudu OO, Adebanjo S. Risk factors for ectopic pregnancy in Lagos, Nigeria. Acta Obstet Gynecol Scand 2005; 84(2): 184–188.

Lawani OL, Anozie OB, Ezeonu PO. Ectopic pregnancy: a life-threatening gynaecological emergency. Int J Women’s Health 2013; 5: 515-521.

Oronsaye AU, Odiase GI. Incidence of ectopic pregnancy in Benin City, Nigeria. Trop Doct 1981;11(4):160–163.

Ola ER, Imosemi DO, Egwuatu JI, Abudu OO. Ectopic pregnancy: Lagos University Teaching Hospital experience over a five-year period. Niger Q J Hosp Med 1999; 9(2): 100–103.

Ekele BA. Medical treatment of ectopic pregnancy using parenteral methotrexate. West Afr J Med 2001; 20(3):181–183.

Baffoe S, Nkyekyer K. Ectopic pregnancy in Korle Bu Teaching Hospital, Ghana: a three-year review. Trop Doct 1999; 29(1):18–22.

Iklaki CU, Emechebe CI, Njoku CO, Ago BU, Ugwu B. Review of ectopic pregnancy as a cause of Maternal morbidity and mortality in a developing country. IOSR J Dental Med Sci 2015; 14(8): 86-91.

Timmerman D. Predictive models for the early diagnosis of ectopic pregnancy.Verh K Acad Geneeskd Belg. 2004; 66 (2):155-71.

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Published

2016-10-24

How to Cite

John, C. osita, & Alegbeleye, J. omoikhefe. (2016). Ectopic pregnancy experience in a tertiary health facility in South-South Nigeria. The Nigerian Health Journal, 16(1), 44. https://doi.org/10.60787/tnhj.v16i1.204
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