Abstract
Aim: The aim was to study the risk factors and prognosis of ruptured ectopic pregnancy. Method: We conducted a retrospective and descriptive study about ruptured ectopic pregnancy at the university clinic of gynecology and obstetric, over a period of 05 years (01/01/2009 to 31/12/2013). Data collection was done by a count of records using a questionnaire developed for this purpose. A total of 336 cases were recorded and analyzed by EPI Data Version 3.1. Results: The overall incidence of ectopic pregnancy was 1.89% and 88.69% of cases were ruptured. The average age was 28 years. The most affected age group was between 20 and 29 years. They were mainly married women (43.62%), nulliparous and pauciparous (53.36%). The most contributing risk factor was history of genital infections (45.31%). 81.54% of patients were referred from a peripheral center. The highest number of ruptured ectopic pregnancy occurred between 7 and 10 weeks of gestation (39.6%). 92.95% of patients underwent radical surgery with total salpingectomy. 56.71% among the latter underwent per operative auto transfusion. The prognosis was marked by one death (0.4%). Conclusion: Ruptured ectopic pregnancy is one of the causes of morbidity and maternal death.
Highlights
Ectopic pregnancy is a public health issue all over the world, whatever the developmental status [1]
In developing countries, the frequency of ruptured ectopic pregnancy is still elevated and represents still the first cause of maternal mortality in the first trimester compromising further fertility [4,5,6]. This is related to late diagnosis, because in Africa women wait until three months amenorrhea to start antenatal care
The time require for conception varied from 2months to 20 months after treatment of the ruptured ectopic pregnancy
Summary
Ectopic pregnancy is a public health issue all over the world, whatever the developmental status [1]. In developing countries, the frequency of ruptured ectopic pregnancy is still elevated and represents still the first cause of maternal mortality in the first trimester compromising further fertility [4,5,6]. This is related to late diagnosis, because in Africa women wait until three months amenorrhea to start antenatal care. The ectopic pregnancy is life threatening: it represents 13% of maternal related death during the first trimester. For BOUTEVILLE C. and al [9], a woman having an ectopic pregnancy has a relative mortality risk 10 times higher than the one during delivery
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