Ectopic Pregnancy in Africa: A Population-Based Study

Leke, Robert J. I.; Goyaux, Nathalie; Matsuda, Tomohiro; Thonneau, Patrick

doi:10.1097/01.aog.0000120146.48098.f2

Cited by 57 publications

(48 citation statements)

References 14 publications

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“…Tubal rupture was seen in 73.5% of the women in this study, probably suggesting late diagnosis of ectopic pregnancy which is common feature in most African settings [8] [22]. The left fallopian tube was more involved with ectopic pregnancy in this study.…”

Section: Discussionmentioning

confidence: 60%

“…Late diagnosis of the ectopic pregnancy could probably be due to patient time of arrival to hospital or lack of transvaginal ultrasound. These might be responsible for the use of surgery in this study [8] [14] [17]. Though all the women survived the surgery in this study, early diagnosis and nonsurgical conservative management should be the ultimate goal; as radical salpingectomy and salpingoophorectomy aside the physical and psychological trauma on the women, have been implicated in reduced fertility and reoccurrence of ectopic pregnancy [27] [28].…”

Section: Discussionmentioning

confidence: 99%

“…Unfortunately the same cannot be said with developing countries as many hospital based studies from the region reported a 10 times higher case-fatality rate compared to develop countries [8]. One of the reasons for this worrying discrepancy between developed and developing countries is late diagnosis, as these women explore other precarious unorthodox means for treatment of their problem leading to late arrival in hospital [8]. Another reason is the lack diagnostic equipment for early diagnosis like transvaginal ultrasound and β-HCG test [5] [9].…”

Section: Introductionmentioning

confidence: 99%

“…[4].Though ectopic pregnancy is the leading cause of pregnancy-related death in early pregnancy [5], in developed countries like USA, the UK and most countries in Europe there is a steady decline of ectopic pregnancy case fatality rates despite the documented increase in prevalence [6] [7]. Unfortunately the same cannot be said with developing countries as many hospital based studies from the region reported a 10 times higher case-fatality rate compared to develop countries [8]. One of the reasons for this worrying discrepancy between developed and developing countries is late diagnosis, as these women explore other precarious unorthodox means for treatment of their problem leading to late arrival in hospital [8].…”

Section: Introductionmentioning

confidence: 99%

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Ectopic Pregnancy in a Referral Hospital in the Volta Region of Ghana West Africa

Oppong¹,

Agbemenyah²,

Afeke³

et al. 2016

OALib

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Background: Ectopic pregnancy is still a global problem for women of reproductive age with increasing burden of the disease and increasing mortality especially for women living developing world like Africa. In Ghana studies evaluating the burden of ectopic pregnancy have been conducted in major centres like Korle-Bu and KATH but few in other centres. This study tends to evaluate the prevalence, clinical presentation and finding of ectopic pregnancy in a referral hospital in the Volta region of Ghana. Methodology: This was a 3 years (2013)(2014)(2015)(2016) retrospective review of all gynaecological admission in the Volta regional hospital. All ectopic pregnancy cases/ record were identified, retrieved and information on the socio-demographics, clinical presentations, intraoperative findings and outcome of surgery were all extracted for analysis. Result: A prevalence of 2.05% (53/2582) was recorded over the study period. 58.5% (31/53) of the women were married and between the age group of 21 -30. 47.2% (25/53) had primary school education. Lower abdominal pain was common in 98.1% (52//53), 69.2% (37/53) had vaginal bleeding while 96.4% (51/53). Fallopian tube pregnancy was seen in 96.2% (51/53) while 3.8% (2/53) were abdominal pregnancy. Tubal rupture and heamoperitoneum were seen in 73.6% (39/53) of the women. 78.4% (40/51) of the fallopian tube pregnancy occurred at the ampulla. All the women in this study were successfully managed with radical surgery. Conclusion: There is still the need to evaluate the prevalence of ectopic pregnancy in the region. Proper education of women of reproductive age and provision of equipment and skills to enable early diagnosis of ectopic pregnancy is very necessary in ensuring less radical and traumatic management with less implication on fertility of women post-surgery.

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Section: Discussionmentioning

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Ectopic Pregnancy in a Referral Hospital in the Volta Region of Ghana West Africa

Oppong¹,

Agbemenyah²,

Afeke³

et al. 2016

OALib

View full text Add to dashboard Cite

show abstract

“…Late presentation to a health facility, late diagnosis leading in almost all cases to majority of complications and emergency surgical treatment are the key factors accounting for such high fatality rates in women suffering from ectopic pregnancy in Africa. The incidence of ectopic pregnancy was found to be 0.79% in Yaoundé, Cameroun (Leke et al, 2004). This value may be considered a minimum due to probably underestimation.…”

Section: Incidence Of Ectopic Pregnancymentioning

confidence: 77%