Ectopic Pregnancy Approach and Risk Factors, A Retrospective Study at King Abdulaziz University Hospital – Three Years' Experience

Abstract

Ectopic pregnancy is a major cause of maternal morbidity and mortality during the first trimester of pregnancy .The incidence of ectopic pregnancy is approximately 1-2% of all pregnancies.

The aim

This retrospective study aimed to characterize & identify the risk factors,clinical presentation, outcomes and the management of ectopic cases in King Abdulaziz University Hospital, Jeddah, Saudi Arabia over the past 3 years .

Material and methods:

All patients diagnosed with ectopic pregnancy and admitted  to King Abdulaziz University Hospital from January 2012 to December 2014 were eligible for this study. Demographic, clinical characteristics, laboratory investigations, ultrasound findings, date and type of surgery, medical treatment or expectant management were collected from the patients files and the hospital registration book .

Result

120 patients were included in this study; their mean age was 29.9±5.7 years (range from 16 to 47 years). The mean of gravidity was 3.5±2.7 (range1-3). Only 4 (3.30%) cases had 3 times abortion .  36 (30%) cases had History Of Pelvic Surgery and 21 (17.5%) had History of Caesarian Section. All the 120 cases admitted through emergency room, 109 (90.8%) of the cases complained from abdominal pain and  71 (60.7 %) had Vaginal Bleeding . Of the patients, 19 (15.8%) had expectant management, 42(35%) received Methotrexate, 40 (33.3%) had laparoscopy and 18 (15%) had Laparotomy.