Document Detail


Causes of the increase in the incidence of ectopic pregnancy. A study on 1017 patients from 1966 to 1985 in Turku, Finland.
MedLine Citation:
PMID:  2929684     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The relationship between the increased incidence of ectopic pregnancy and the known risk factors of this disorder was examined by 5-year age groups and equivalent calendar periods to determine the causes of the recent "epidemic" of ectopic pregnancy. None of the known risk factors would alone explain the observed increase. Consequently, multivariate analysis by log-linear models was applied: age, past pelvic operation, previous pelvic inflammatory disease, antecedent legal abortion, and current use of an intrauterine contraceptive device were responsible for the increase in the occurrence of the disease. The strongest association with the observed temporal trend in the increase of ectopic pregnancy was found for pelvic operation (including previous ectopic pregnancy), pelvic inflammatory disease, and current use of an intrauterine contraceptive device. Improved diagnosis and changing demographic patterns also contributed to the increase in the annual number of ectopic pregnancies.
Authors:
J I Mäkinen; R U Erkkola; P J Laippala
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  160     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1989 Mar 
Date Detail:
Created Date:  1989-04-21     Completed Date:  1989-04-21     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  642-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, University Central Hospital of Turku, Finland.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aging / physiology
Female
Finland
Genital Diseases, Female / epidemiology,  etiology
Humans
Intrauterine Devices / adverse effects
Pelvic Inflammatory Disease / complications
Pelvis / surgery
Postoperative Complications
Pregnancy
Pregnancy, Ectopic / epidemiology,  etiology*
Risk Factors
Tissue Adhesions / epidemiology,  etiology
Comments/Corrections
Comment In:
Am J Obstet Gynecol. 1990 Jul;163(1 Pt 1):265-6   [PMID:  2375365 ]
Am J Obstet Gynecol. 1990 Apr;162(4):1130-2   [PMID:  2327458 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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