Reeta Chander Parkash, Arshia Javed.
Risk factor leading to ectopic pregnancy.
Pak J Surg Jan ;33(1):70-3.

Introduction: Ectopic pregnancy is the most life threating emergency leading to maternal death in which the gestational sac is outside the uterus. Several risk factors for ectopic pregnancy has been identified including genital infection, previous ectopic pregnancy, history of tubal surgery and use of IUCD. Such abnormalities of the tubes prevent normal transport of the fertilized egg to the uterus. Ectopic pregnancy occur at a rate of about 1 to 2 % of pregnancies can occur in any sexually active woman of reproductive age. The incidence has been increasing for years and currently two to three times higher than it was 20 or 30 years ago. Diagnosis of ectopic pregnancy may be missed due to non- specific or atypical clinical features particularly where there was no history of missed period. Objec`tive: To determine the frequency of factors leading to ectopic pregnancy in woman attending to a tertiary care center. Design: Cross Sectional Study. Sett ing & Duration: Th is study was conducted in the department of Obstetrics & Gynecology Unit 1 Civil Hospital Karachi, Pakistan from Nov 2011 to May 2012. Methodology: The study was carried out on 117 women who presented to emergency room with amenorrhea, lower abdominal pain & vaginal bleeding, diagnose as ectopic pregnancy. Detailed history and general physical, abdominal and vaginal examination was done. Predisposing factors wiThectopic pregnancy were investigated. Result: The result were analyzed by using SPSS soft ware version 16.0. The commonest risk factor for ectopic pregnancy was the use of contraception (30.0%) followed by history of genital tract infection (22.2%), previous ectopic pregnancy (12%) & previous tubal surgery (5.1%) were also found to be important risk factors. Conclusion: The study shows that the ectopic pregnancy is highly associated with multiparty & previous ectopic pregnancy & in patient’s who previously had genital tract infections.

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