Abstract
<p style="margin-bottom: 0in;"><span style="color: #000000;"><span style="font-family: Helvetica-Narrow-BoldOblique,sans-serif;"><span style="font-size: x-small;"><span style="color: #231f20;"><span style="font-size: x-small;"><em><strong>Objective: </strong></em></span></span><span style="color: #231f20;"><span style="font-family: Helvetica-Narrow,sans-serif;"><span style="font-size: x-small;">To evaluate and analyze potential risk factors for ectopic pregnancy in a tertiary care Hospital in United Arab Emirates (UAE).</span></span></span></span></span></span> <p style="margin-bottom: 0in;"><span style="color: #000000;"><span style="font-family: Helvetica-Narrow-BoldOblique,sans-serif;"><span style="font-size: x-small;"><span style="color: #231f20;"><span style="font-size: x-small;"><em><strong>Methods: </strong></em></span></span><span style="color: #231f20;"><span style="font-family: Helvetica-Narrow,sans-serif;"><span style="font-size: x-small;">A case control study was conducted in Mafraq Hospital from August 2008 to December 2011. The study subjects included 108 women diagnosed with ectopic pregnancy (cases group) and 216 women who delivered in the study hospital during the same time period (control group).</span></span></span></span></span></span> <p style="margin-bottom: 0in;"><span style="color: #000000;"><span style="font-family: Helvetica-Narrow-BoldOblique,sans-serif;"><span style="font-size: x-small;"><span style="color: #231f20;"><span style="font-size: x-small;"><em><strong>Results: </strong></em></span></span><span style="color: #231f20;"><span style="font-family: Helvetica-Narrow,sans-serif;"><span style="font-size: x-small;">In our study population the risk of ectopic pregnancy was found 8 fold more in women who had past history of pelvic inflammatory disease (OR 8.14, 95% CI, 1.90- 34.77, p=0.005), 6 fold more in women with infertility (OR 6.57,95% CI, 3.06-14.08, p=0.000), 3 fold more in women with previous pelvic surgery (OR 3.33, 95% CI, 1.28- 8.66, p=0.01) and 1.7 fold more in women with previous history of spontaneous miscarriages (OR 1.76, 95% CI, 1.03-3.00, p=0.03) as compared to those women who had normal delivery.</span></span></span></span></span></span> <p style="margin-bottom: 0in;"><span style="color: #231f20;"><span style="font-family: Helvetica-Narrow,sans-serif;"><span style="font-size: x-small;">Conclusion: Results of this study supported the hypothesis that a past history of pelvic inflammatory disease, history of infertility for at least 2 years preceding the ectopic pregnancy, past history of pelvic surgery and previous spontaneous miscarriages are significant risk factors for the occurrence of ectopic pregnancy. Increased awareness and knowledge of risk factors among the women population can enable an early detection and diagnosis of ectopic pregnancy thereby leading to early intervention and conservative approach for management.</span></span></span> <p style="margin-bottom: 0in;">DOI: <a href="http://dx.doi.org/10.4038/sljog.v35i2.6168">http://dx.doi.org/10.4038/sljog.v35i2.6168</a> <p style="margin-bottom: 0in; font-weight: normal;"><span style="color: #231f20;"><span style="font-family: Helvetica-Narrow-Bold,sans-serif;"><span style="font-size: x-small;"><em>Sri Lanka Journal of Obstetrics and Gynaecology </em><span style="font-style: normal;">2013; 35: 53-57</span></span></span></span>
Highlights
Ectopic pregnancy is the most common cause of pregnancy related deaths in the first trimester of pregnancy
The information was collected for each subject in a pre-designed and pretested proforma on her obstetric history and gynecological history, past history of any pelvic surgical procedures, previous history of curettage, previous history of pelvic inflammatory disease (PID), intrauterine contraceptive device (IUCD) use and history of infertility of 2 or more years preceding the diagnosis of ectopic pregnancy
A total of 324 pregnant women were included in this study. 108 (33.33%) subjects diagnosed with ectopic pregnancy formed the “Cases” group and 216 (66.66%) women who delivered during the same period in the same hospital comprised “Control” group
Summary
A case control study was conducted in Mafraq Hospital from August 2008 to December 2011. The study subjects included 108 women diagnosed with ectopic pregnancy (cases group) and 216 women who delivered in the study hospital during the same time period (control group). This was a retrospective, case control study conducted in Mafraq Hospital between August 2008 and December 2011. The study included 108 women diagnosed to have ectopic pregnancy For every single selected case of ectopic pregnancy, 2 women who delivered at term in the same hospital on the same day were taken as controls.
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