Ectopic pregnancy in orotta national referral maternity hospital: from january 1,2009 to december 31, 2011

Objectives:-To asses the prevalence of ectopic pregnancy in Orotta Maternity Hospital.
To asses some of the risk factors that leads to ectopic pregnancy.
Methods:-Data collection for this study was performed as part of institutional board approved three years retrospective cross-sectional descriptive study of patients admitted in Orotta National Referral Maternity Hospital with the diagnosis of ectopic pregnancies. Patient identification performed through review of prerecorded log book and patient card describing each patient admitted to Gynecology ward. Based on this, Medical records were reviewed and pertinent maternal information was recorded including obstetrics, medical, surgical, social history and demographic information. Pertinent information on the outcome of the problem was also reviewed. Data were entered into computer and analyzed using the STATA 9.
Result: - a study of 49 cases ectopic pregnancy managed over three years period in Orotta National Maternity Referral Hospital was reported. The total number of deliveries in the hospital in the study duration was 30,000. The prevalence of ectopic per 1000 deliveries was 16. From this study the mean age, gravidity and parity were 30, 3 and 2 respectively. The mean gestational age for ectopic pregnancy was 7weeks. All of the ectopic cases complain of abdominal pain but only 75% of them have vaginal bleeding. More than 94% came with ruptured ectopic and needing emergency blood transfusion. It shows that it is one of the commonest gynecological emergencies in the hospital. The usual surgical treatment of cases in our unit was total salpingectomy.
Discussion: - ectopic pregnancy was common in our hospital like in some African countries. Late diagnoses were important findings that should encourage our physician to promote ectopic pregnancy prevention programs and to improve the care given to women with ectopic pregnancy It should be considered a relevant public health indicator in our country, providing an overall picture of the capacity of a health system to deal with the diagnosis and treatment of emergency situations, especially in the field of obstetrics and gynecology.