Sociodemographic Attribute and Clinical Outcomes of Ectopic Pregnancy Managed in a Tertiary Hospital in Southern Nigeria

Kehinde Osazee; Peter Waibode Alabrah; Chidinma Joy Anya

doi:doi:10.11648/j.jgo.20221005.13

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Sociodemographic Attribute and Clinical Outcomes of Ectopic Pregnancy Managed in a Tertiary Hospital in Southern Nigeria

Kehinde Osazee, Peter Waibode Alabrah, Chidinma Joy Anya

Published in Journal of Gynecology and Obstetrics (Volume 10, Issue 5)

Received: 2 September 2022 Accepted: 4 October 2022 Published: 21 October 2022

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Abstract

The most frequent gynaecological emergency is ectopic pregnancy, and it has high rates of maternal morbidity and mortality particularly when intervention is delayed. This study focused on the socio-demographic attributes and clinical outcomes of patients managed for ectopic pregnancy at the University of Benin Teaching Hospital (UBTH), Benin City, Nigeria. All cases of ectopic pregnancy in UBTH from January 2017 to December 2019 were retrospectively studied. Information on their presentation, clinical management and outcomes of treatment were retrieved from the hospital records library, ward registers, departmental computerized data set and theatre records. The data was analyzed using SPSS version 22. There were 6738 deliveries, 2365 gynaecological admissions and 141 cases of ectopic pregnancy in the period under review. Ectopic pregnancy (EP) constituted 2.1% of all deliveries and 5.97% of all gynaecological admissions. The peak age of incidence was 25 – 29 years. The majority of the patients (58.2%) were single and they were mostly undergraduates (41.8%). The majority (81.6%) presented with ruptured ectopic pregnancy. Shock was the commonest presentation (59.1%), and 60.1% had a blood transfusion. Salpingectomy was the mainstay of treatment (86.3%). For the unruptured cases selected for medical management, the success rate was 84.2%. Ectopic pregnancy is a common gynaecological emergency and still poses a major challenge due to late presentation. Previous induced abortion and pelvic inflammatory disease are the major risk factors for EP. Increasing awareness of prevention, early presentation, and risk of morbidity and mortality will help to reduce this scourge.

Published in	Journal of Gynecology and Obstetrics (Volume 10, Issue 5)
DOI	10.11648/j.jgo.20221005.13
Page(s)	231-235
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Ectopic Pregnancy, Gynaecological Emergency, Salpingectomy, Blood Transfusion, Risk Factors

References

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APA Style

Kehinde Osazee, Peter Waibode Alabrah, Chidinma Joy Anya. (2022). Sociodemographic Attribute and Clinical Outcomes of Ectopic Pregnancy Managed in a Tertiary Hospital in Southern Nigeria. Journal of Gynecology and Obstetrics, 10(5), 231-235. https://doi.org/10.11648/j.jgo.20221005.13

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ACS Style

Kehinde Osazee; Peter Waibode Alabrah; Chidinma Joy Anya. Sociodemographic Attribute and Clinical Outcomes of Ectopic Pregnancy Managed in a Tertiary Hospital in Southern Nigeria. J. Gynecol. Obstet. 2022, 10(5), 231-235. doi: 10.11648/j.jgo.20221005.13

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AMA Style

Kehinde Osazee, Peter Waibode Alabrah, Chidinma Joy Anya. Sociodemographic Attribute and Clinical Outcomes of Ectopic Pregnancy Managed in a Tertiary Hospital in Southern Nigeria. J Gynecol Obstet. 2022;10(5):231-235. doi: 10.11648/j.jgo.20221005.13

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@article{10.11648/j.jgo.20221005.13,
  author = {Kehinde Osazee and Peter Waibode Alabrah and Chidinma Joy Anya},
  title = {Sociodemographic Attribute and Clinical Outcomes of Ectopic Pregnancy Managed in a Tertiary Hospital in Southern Nigeria},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {10},
  number = {5},
  pages = {231-235},
  doi = {10.11648/j.jgo.20221005.13},
  url = {https://doi.org/10.11648/j.jgo.20221005.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20221005.13},
  abstract = {The most frequent gynaecological emergency is ectopic pregnancy, and it has high rates of maternal morbidity and mortality particularly when intervention is delayed. This study focused on the socio-demographic attributes and clinical outcomes of patients managed for ectopic pregnancy at the University of Benin Teaching Hospital (UBTH), Benin City, Nigeria. All cases of ectopic pregnancy in UBTH from January 2017 to December 2019 were retrospectively studied. Information on their presentation, clinical management and outcomes of treatment were retrieved from the hospital records library, ward registers, departmental computerized data set and theatre records. The data was analyzed using SPSS version 22. There were 6738 deliveries, 2365 gynaecological admissions and 141 cases of ectopic pregnancy in the period under review. Ectopic pregnancy (EP) constituted 2.1% of all deliveries and 5.97% of all gynaecological admissions. The peak age of incidence was 25 – 29 years. The majority of the patients (58.2%) were single and they were mostly undergraduates (41.8%). The majority (81.6%) presented with ruptured ectopic pregnancy. Shock was the commonest presentation (59.1%), and 60.1% had a blood transfusion. Salpingectomy was the mainstay of treatment (86.3%). For the unruptured cases selected for medical management, the success rate was 84.2%. Ectopic pregnancy is a common gynaecological emergency and still poses a major challenge due to late presentation. Previous induced abortion and pelvic inflammatory disease are the major risk factors for EP. Increasing awareness of prevention, early presentation, and risk of morbidity and mortality will help to reduce this scourge.},
 year = {2022}
}

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TY - JOUR
T1 - Sociodemographic Attribute and Clinical Outcomes of Ectopic Pregnancy Managed in a Tertiary Hospital in Southern Nigeria
AU - Kehinde Osazee
AU - Peter Waibode Alabrah
AU - Chidinma Joy Anya
Y1 - 2022/10/21
PY - 2022
N1 - https://doi.org/10.11648/j.jgo.20221005.13
DO - 10.11648/j.jgo.20221005.13
T2 - Journal of Gynecology and Obstetrics
JF - Journal of Gynecology and Obstetrics
JO - Journal of Gynecology and Obstetrics
SP - 231
EP - 235
PB - Science Publishing Group
SN - 2376-7820
UR - https://doi.org/10.11648/j.jgo.20221005.13
AB - The most frequent gynaecological emergency is ectopic pregnancy, and it has high rates of maternal morbidity and mortality particularly when intervention is delayed. This study focused on the socio-demographic attributes and clinical outcomes of patients managed for ectopic pregnancy at the University of Benin Teaching Hospital (UBTH), Benin City, Nigeria. All cases of ectopic pregnancy in UBTH from January 2017 to December 2019 were retrospectively studied. Information on their presentation, clinical management and outcomes of treatment were retrieved from the hospital records library, ward registers, departmental computerized data set and theatre records. The data was analyzed using SPSS version 22. There were 6738 deliveries, 2365 gynaecological admissions and 141 cases of ectopic pregnancy in the period under review. Ectopic pregnancy (EP) constituted 2.1% of all deliveries and 5.97% of all gynaecological admissions. The peak age of incidence was 25 – 29 years. The majority of the patients (58.2%) were single and they were mostly undergraduates (41.8%). The majority (81.6%) presented with ruptured ectopic pregnancy. Shock was the commonest presentation (59.1%), and 60.1% had a blood transfusion. Salpingectomy was the mainstay of treatment (86.3%). For the unruptured cases selected for medical management, the success rate was 84.2%. Ectopic pregnancy is a common gynaecological emergency and still poses a major challenge due to late presentation. Previous induced abortion and pelvic inflammatory disease are the major risk factors for EP. Increasing awareness of prevention, early presentation, and risk of morbidity and mortality will help to reduce this scourge.
VL - 10
IS - 5
ER -

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Author Information

Kehinde Osazee

Department of Obstetrics and Gynaecology, School of Medicine, College of Medical Sciences, University of Benin, Benin City, Nigeria
Peter Waibode Alabrah

Department of Obstetrics and Gynaecology, Federal Medical Centre, Yenagoa, Nigeria
Chidinma Joy Anya

Department of Obstetrics and Gynaecology, School of Medicine, College of Medical Sciences, University of Benin, Benin City, Nigeria

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APA Style

Kehinde Osazee, Peter Waibode Alabrah, Chidinma Joy Anya. (2022). Sociodemographic Attribute and Clinical Outcomes of Ectopic Pregnancy Managed in a Tertiary Hospital in Southern Nigeria. Journal of Gynecology and Obstetrics, 10(5), 231-235. https://doi.org/10.11648/j.jgo.20221005.13

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ACS Style

Kehinde Osazee; Peter Waibode Alabrah; Chidinma Joy Anya. Sociodemographic Attribute and Clinical Outcomes of Ectopic Pregnancy Managed in a Tertiary Hospital in Southern Nigeria. J. Gynecol. Obstet. 2022, 10(5), 231-235. doi: 10.11648/j.jgo.20221005.13

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AMA Style

Kehinde Osazee, Peter Waibode Alabrah, Chidinma Joy Anya. Sociodemographic Attribute and Clinical Outcomes of Ectopic Pregnancy Managed in a Tertiary Hospital in Southern Nigeria. J Gynecol Obstet. 2022;10(5):231-235. doi: 10.11648/j.jgo.20221005.13

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@article{10.11648/j.jgo.20221005.13,
  author = {Kehinde Osazee and Peter Waibode Alabrah and Chidinma Joy Anya},
  title = {Sociodemographic Attribute and Clinical Outcomes of Ectopic Pregnancy Managed in a Tertiary Hospital in Southern Nigeria},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {10},
  number = {5},
  pages = {231-235},
  doi = {10.11648/j.jgo.20221005.13},
  url = {https://doi.org/10.11648/j.jgo.20221005.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20221005.13},
  abstract = {The most frequent gynaecological emergency is ectopic pregnancy, and it has high rates of maternal morbidity and mortality particularly when intervention is delayed. This study focused on the socio-demographic attributes and clinical outcomes of patients managed for ectopic pregnancy at the University of Benin Teaching Hospital (UBTH), Benin City, Nigeria. All cases of ectopic pregnancy in UBTH from January 2017 to December 2019 were retrospectively studied. Information on their presentation, clinical management and outcomes of treatment were retrieved from the hospital records library, ward registers, departmental computerized data set and theatre records. The data was analyzed using SPSS version 22. There were 6738 deliveries, 2365 gynaecological admissions and 141 cases of ectopic pregnancy in the period under review. Ectopic pregnancy (EP) constituted 2.1% of all deliveries and 5.97% of all gynaecological admissions. The peak age of incidence was 25 – 29 years. The majority of the patients (58.2%) were single and they were mostly undergraduates (41.8%). The majority (81.6%) presented with ruptured ectopic pregnancy. Shock was the commonest presentation (59.1%), and 60.1% had a blood transfusion. Salpingectomy was the mainstay of treatment (86.3%). For the unruptured cases selected for medical management, the success rate was 84.2%. Ectopic pregnancy is a common gynaecological emergency and still poses a major challenge due to late presentation. Previous induced abortion and pelvic inflammatory disease are the major risk factors for EP. Increasing awareness of prevention, early presentation, and risk of morbidity and mortality will help to reduce this scourge.},
 year = {2022}
}

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