Epidemiology, risk factors and sites of ectopic pregnancy in madina maternity and children hospital, Kingdom of Saudi Arabia

ABSTRACT

The objective of the study was to study the epidemiology, risk factors and sites of ectopic pregnancy in the Saudi women and correlate the data to international incidences. The retrospective descriptive study was conducted from May 2002 till April 2004 at Madina maternity and children hospital, Saudi Arabia. Seventy patients diagnosed as ectopic pregnancy, which constituted 2.32/1000 of 30,066 deliveries conducted during this period were included. Patients were divided into 6 categories based on age ranging from 15-40 years [5 groups] and more than 40 years [group 6]. Data were collected on predesigned proforma, including the relationship of ectopic pregnancy to age, parity, associated risk factors and the sites of ectopic pregnancy. The data were analyzed on SPSS version 14. Majority of the cases were between 20 to 34 years of age i.e., 60%. The parity was studied from nulliparous to Para 8 and mean parity was 4. Risk factors were classified into 3 categories surgical, clinical and contraceptive. Most of the cases had two or more factors. The surgical factors were present in 41 cases; clinical factors were present in 44 cases while contraceptive use was present in 11 cases. The sites of ectopic having nearly an equal incidence in the right and left fallopian tubes were 61 [91%] cases. There were 3 ovarian, 2 Broad ligament and 1 abdominal secondary ectopic pregnancy. The frequency of ectopic pregnancy was nearly 0.23% in our study. Association with risk factors and demographic features is consonance with international literature