ECTOPIC PREGNANCY: A NIGERIAN URBAN EXPERIENCE
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Objective To assess the incidence of ectopic pregnancy (EP) in St. Luke’s Hospital, Anua in Uyo metropolis, Nigeria. Data on EP incidence in developing countries are rare and often out of date, particularly in Nigeria. Methods A fi ve-year retrospective study (2000-2004) was carried out, examining all cases of EP registered in the medical fi les of records in the casualty, maternity and surgical departments of St. Luke’s Hospital, Anua in Uyo metropolis, which before the advent of the University of Uyo Teaching Hospital, in 2002, was the hub of medical activities in Akwa Ibom State. Results Within the period under study, 2,3951 pregnancies was registered in that hospital out of which 72 cases of ectopic pregnancies was reported (3/1,000 pregnancies). Most of the affected females were young single women and students with 81.9% of them between 21 and 30 years of age. Mortality was 1.4% in the study. Related risk factors included pelvic inflammatory disease,previous history of abortions, infertility and a previous history of EP. These problems are compounded by social issues leading to multiple sexual partners and fi nancial stress resulting from the palpable poverty in Nigeria today. Conclusion Reports of hospital-based incidence of EP in various centers across Nigeria varies but has increased over the last decade. Health professionals and public health offi cials in developing countries, especially those in Africa, should consider EP as a major obstetric problem for maternal morbidity. Early detection and more public education as well as advocacy programs targeted at women are needed to solve the problem of EP in Uyo, Akwa Ibom state, Nigeria.
Abstract
Objective To assess the incidence of ectopic pregnancy (EP) in St. Luke’s Hospital, Anua in Uyo metropolis, Nigeria. Data on EP incidence in developing countries are rare and often out of date, particularly in Nigeria. Methods A fi ve-year retrospective study (2000-2004) was carried out, examining all cases of EP registered in the medical fi les of records in the casualty, maternity and surgical departments of St. Luke’s Hospital, Anua in Uyo metropolis, which before the advent of the University of Uyo Teaching Hospital, in 2002, was the hub of medical activities in Akwa Ibom State. Results Within the period under study, 2,3951 pregnancies was registered in that hospital out of which 72 cases of ectopic pregnancies was reported (3/1,000 pregnancies). Most of the affected females were young single women and students with 81.9% of them between 21 and 30 years of age. Mortality was 1.4% in the study. Related risk factors included pelvic inflammatory disease,previous history of abortions, infertility and a previous history of EP. These problems are compounded by social issues leading to multiple sexual partners and fi nancial stress resulting from the palpable poverty in Nigeria today. Conclusion Reports of hospital-based incidence of EP in various centers across Nigeria varies but has increased over the last decade. Health professionals and public health offi cials in developing countries, especially those in Africa, should consider EP as a major obstetric problem for maternal morbidity. Early detection and more public education as well as advocacy programs targeted at women are needed to solve the problem of EP in Uyo, Akwa Ibom state, Nigeria.
참고문헌 (38)
- Thonneau P, "Ectopic pregnancy in Conakry, Guinea", Bull World Health Organ, 80, pp.365~370 (2002)
- Okunlola MA, "Repeat ipsilateral ectopic gestation: a series of 3 cases", Afr J Med Med Sci, 35, pp.173~175 (2006)
- Majhi AK, "Ectopic pregnancy: an analysis of 180 cases", J Indian Med Assoc, 105, pp.308~312 (2007)
- Rajkhowa M, "Trends in the incidence of ectopic pregnancy in England and Wales from 1966 to 1996", BJOG, 107, pp.369~374 (2000)
- Goyaux N, "Ectopic pregnancy in African developing countries", Acta Obstet Gynecol Scand, 82, pp.305~312 (2003)
- Igberase GO, "Ectopic pregnancy: an 11-year review in a tertiary centre in the Niger Delta", Trop Doct, 35, pp.175~177 (2005)
- Gharoro EP, "Ectopic pregnancy revisited in Benin City, Nigeria: analysis of 152 cases", Acta Obstet Gynecol Scand, 81, pp.1139~1143 (2002)
- Anorlu RI, "Risk factors for ectopic pregnancy in Lagos, Nigeria", Acta Obstet Gynecol Scand, 84, pp.184~188 (2005)
- Musa J, "Ectopic pregnancy in Jos Northern Nigeria: prevalence and impact on subsequent fertility", Niger J Med, 18, pp.35~38 (2009)
- Aboyeji AP, "Trends in ectopic pregnancy in Ilorin, Nigeria", Nigerian J Surg Res, 4, pp.6~11 (2002)
- Udigwe GO, "Ectopic pregnancy: a 5 year review of cases at Nnamdi Azikiwe Universty Teaching Hospital Nnewi", Niger Med J, 51, pp.160~163 (2010)
- Abudu OO, "Ectopic pregnancy: Lagos University Teaching Hospital experience over a fi ve year period", Nig Q J Hosp Med, 9, pp.100~103 (1999)
- Abudu OO, "A review of maternal mortality in Lagos University Teaching Hospital", Niger Med Pract, 31, pp.12~16 (1996)
- Baffoe S, "Ectopic pregnancy in Korle Bu Teaching Hospital, Ghana: a three-year review", Trop Doct, 29, pp.18~22 (1999)
- Doyle MB, "Epidemiology and etiology of ectopic pregnancy", Obstet Gynecol Clin North Am, 18, pp.1~17 (1991)
- Aral SO, "Sexual behaviour as risk factor for sexually transmitted diseases, In Reproductive tract infections: global impact and priorities for women’s reproductive Health", pp.185~191 (1992), Plenum Press
- Amoko DH, "Clinical presentation of ectopic pregnancy in Transkei, South Africa", East Afr Med J, 72, pp.770~773 (1995)
- Gracia CR, "Diagnosing ectopic pregnancy: decision analysis comparing six strategies", Obstet Gynecol, 97, pp.464~470 (2001)
- Gazvani MR, "Modern management of ectopic pregnancy", Br J Hosp Med, 56, pp.597~599 (1996)
- Sherman D, "Improved fertility following ectopic pregnancy", Fertil Steril, 37, pp.497~502 (1982)
- Indian Council of Medical Research Task Force Project, "Multi centre case-control study of ectopic pregnancy in India", J Gynaecol Obstet India, 40, pp.425~430 (1990)
- Ilesanmi AO, "Ectopic pregnancy in Ibadan, Nigeria", Niger Med J, 23, pp.11~14 (1992)
- Simms I, "The influence of demographic change and cumulative risk of pelvic inflammatory disease on the incidence of ectopic pregnancy", Epidemiol Infect, 119, pp.49~52 (1997)
- Storeide O, "The incidence of ectopic pregnancy in Hordaland County, Norway 1976-1993", Acta Obstet Gynecol Scand, 76, pp.345~349 (1997)
- Odejinmi FO, "Changing trends in the laparoscopic management of ectopic pregnancy in a London district general hospital: 7-years experience", J Obstet Gynaecol, 28, pp.614~617 (2008)
- Karri K, "Successful laparoscopic management of ectopic pregnancy in a district general hospital", J Obstet Gynaecol, 25, pp.769~771 (2005)
- Tulandi T, "Surgical management of ectopic pregnancy", Clin Obstet Gynaecol, 42, pp.31~35 (1997)
- Ibekwe PC, "Ruptured advanced tubal ectopic pregnancy simulating uterine rupture: a case report", Niger J Med, 13, pp.196~198 (2004)
- Egwuatu VE, "Unexpectedly low ratio and falling incidence rate of ectopic pregnancy in Enugu, Nigeria, 1978- 1981", Int J Fertil, 32, pp.113~115 (1987)
- Eze JN, "Successful intrauterine pregnancy following salpingostomy; case report", Niger J Med, 17, pp.360~362 (2008)
- Kjellberg L, "Reproductive outcome after surgical treatment of ectopic pregnancy", Gynecol Obstet Invest, 49, pp.227~230 (2000)
- Tuomivaara L, "Radical or conservative surgery for ectopic pregnancy? A follow-up study of fertility of 323 patients", Fertil Steril, 50, pp.580~583 (1988)
- Oronsaye AU, "Incidence of ectopic pregnancy in Benin City, Nigeria", Trop Doct, 11, pp.160~163 (1981)
- Swende TZ, "Ruptured tubal pregnancy in Makurdi, north central Nigeria", Niger J Med, 17, pp.75~77 (2008)
- Sy T, "Management of ectopic pregnancy in Conakry, Guinea", Med Trop (Mars), 69, pp.565~568 (2009)
- Nordenskjöld F, "Risk factors in ectopic pregnancy. Results of a population-based case-control study", Acta Obstet Gynecol Scand, 70, pp.575~579 (1991)
- Atrash HK, "The relation between induced abortion and ectopic pregnancy", Obstet Gynecol, 89, pp.512~518 (1997)
- Skjeldestad FE, "Multiple induced abortions as risk factor for ectopic pregnancy. A prospective study", Acta Obstet Gynecol Scand, 76, pp.691~696 (1997)