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Year : 2019  |  Volume : 13  |  Issue : 2  |  Page : 53-57

Ectopic pregnancy: A 5-year review of cases in a secondary health facility in Delta State, Nigeria

Department of Obstetrics and Gynaecology, College of Health Sciences, Delta State University, Abraka, Delta State, Nigeria

Correspondence Address:
Williams Obukohwo Odunvbun
Department of Obstetrics and Gynaecology, College of Health Sciences, Delta State University, Abraka, Delta State
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/phmj.phmj_5_19

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Background: Ectopic pregnancy and the associated risk factors remain a public health concern, with attendant maternal morbidity and mortality. Due to the reported increase in prevalence in several studies across Nigeria in the last few decades, periodic review of management is of relevance for institutional comparison. Aim: The aim of the study was to determine the prevalence, risk factors and management of ectopic pregnancy in Eku Baptist Government Hospital, a secondary health facility providing free maternity services, and compare these with an earlier study in the same facility and other parts of Nigeria. Methods: A retrospective study of cases of ectopic pregnancy managed at Eku Baptist Government Hospital in a 5-year period: 1 January 2013–31 December 2017. Data analysis was done by SPSS version 22 (IBM). Results: The institutional prevalence rate of ectopic pregnancy was 2.7%. Ectopic pregnancies constituted 12.2% (113/926) of gynaecological admissions. The mean age of participants was 29 ± 5.5 years, and 69.5% of them were married. The highest (59.1%) risk for ectopic pregnancy was previously induced abortion. The most frequent (94.3%) complaint at presentation was a lower abdominal pain. Ruptured ectopic accounted for 97.1% of cases. All the patients had laparotomy including three unruptured cases. There was no fatality in this study amongst participants. Conclusion: This study established a lower prevalence of ectopic pregnancy and zero mortality, with the introduction of free maternity service, compared to an earlier study. This findings suggest earlier presentation of patients with ectopic pregnancy. Prevalence and outcome of ectopic pregnancy can be further improved by effective contraceptive enlightenment and use, provision of postabortion care, provision of facilities for early detection and management.

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