Ectopic Pregnancy Risk Factors Presentation and Management Outcomes

IF 0.1 Q4 OBSTETRICS & GYNECOLOGY Journal of Clinical Obstetrics and Gynecology Pub Date : 2023-09-29 DOI:10.29328/journal.cjog.1001143
Suliman Awadalla Abdelwahid, Ahmed Hajar Suliman Ibrahim, Hammad Kabbashi Mohammed Adam, Alsiddig Ibtehal Jaffer Youssef, Abdelgader Mohamed Abdalla Elamin, Elhag Abdallah Omer Elzein, Ibrahim Safa Mohamed
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Abstract

Background: Ectopic pregnancy (EP) is a common and serious early pregnancy problem with a significant morbidity rate and the potential for maternal death. Women commonly present with minimal vaginal bleeding and abdominal pain. Objective: The main objective of the study was to evaluate the risk factors, clinical presentation, sites, and management outcomes of ectopic pregnancies. Methodology: It was a prospective descriptive, cross-sectional hospital-based study conducted at Bashair Teaching Hospital during the period January 2021–June 2021. An interview questionnaire was used, and eighty-two (82) women were included after informed consent. Demographic and clinical data concerning personal history, symptoms of presentation, risk, site, and type of management were recorded. Results: Ectopic pregnancy incidence was 2% and most risk factors were infection 29.3%, surgery 15.9%, miscarriage 13.4%, infertility 12.2%, tubal surgery 4.9%, previous ectopic pregnancy 4.9%, intrauterine contraceptive device (IUCD) 3.6%, and tubal ligation 2.4%. Women presented with bleeding and abdominal pain at 47.5%, bleeding at 18.3%, abdominal pain at 9.7%, and shock at 8.5%. The sites are ampullary (57.3%), fimbria (9.7%), interstitial (8.5%), isthmus (8.5%), ovarian (7.3%), cervical (4.8%), and abdominal (3.6%). Surgical management was 93.9%, medical and surgical management was 3.6% and medical management was 2.4%. A blood transfusion was received at 37.8%. Conclusion: The study concluded that women of reproductive age are at risk of ectopic pregnancy, so healthcare providers and doctors should have a high index of suspicion, prompt diagnosis, and intervention for ectopic pregnancy. Assessment of women at risk factors and modifications will reduce incidence.
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异位妊娠的危险因素、表现和处理结果
背景:宫外孕(EP)是一种常见而严重的妊娠早期问题,发病率高,有可能导致孕产妇死亡。女性通常表现为轻微阴道出血和腹痛。目的:本研究的主要目的是评估异位妊娠的危险因素、临床表现、部位和治疗结果。方法:这是一项前瞻性描述性、横断面医院研究,于2021年1月至2021年6月在Bashair教学医院进行。采用访谈问卷,经知情同意后纳入82名妇女。记录有关个人病史、症状表现、风险、部位和治疗类型的人口统计学和临床数据。结果:宫外孕发生率为2%,主要危险因素为感染29.3%、手术15.9%、流产13.4%、不孕12.2%、输卵管手术4.9%、既往宫外孕4.9%、宫内节育器3.6%、输卵管结扎2.4%。女性表现为出血和腹痛占47.5%,出血占18.3%,腹痛占9.7%,休克占8.5%。这些部位分别是壶腹(57.3%)、肠膜(9.7%)、间质(8.5%)、峡部(8.5%)、卵巢(7.3%)、宫颈(4.8%)和腹部(3.6%)。手术管理占93.9%,内科和外科管理占3.6%,内科管理占2.4%。接受输血的占37.8%。结论:育龄妇女存在异位妊娠的危险,医护人员和医生对异位妊娠应高度警惕,及时诊断和干预。评估妇女的危险因素和改变将减少发病率。
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来源期刊
Journal of Clinical Obstetrics and Gynecology
Journal of Clinical Obstetrics and Gynecology Medicine-Obstetrics and Gynecology
CiteScore
0.30
自引率
0.00%
发文量
8
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