Document Detail


Ectopic pregnancy at the Ignace Deen University Hospital in Conakry: Epidemiologic, social, demographic, therapeutic, and prognostic aspects.
MedLine Citation:
PMID:  25370048     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The objectives of this study were to calculate the frequency of ectopic pregnancy in the department, define its epidemiological, diagnostic, therapeutic, and prognostic aspects, and determine a clear therapeutic approach appropriate to our setting. In this prospective study, we compiled all cases of ectopic pregnancy seen in 2011 and 2012 in the obstetrics-gynecology department at Ignace Deen University Hospital in Conakry. Ectopic pregnancies represented 1.3% of all deliveries over this period. In the 111 cases in this population, women aged 30-34 years accounted for 31.5%, those pregnant for the first time 40.5%, nulliparous women 35.1%, married women 72.1%, those without schooling 43.2%), and those with a history of sexually transmitted infection 57.6% (these categories are not exclusive, and the same women may be included in several). Secondary amenorrhea with abdominopelvic pain and metrorrhagia was the reason for admission in 56.5% of cases. Ultrasound in early pregnancy is infrequent in Conakry. Almost all of our patients underwent emergency surgery (80.2%) More than half of the ectopic pregnancies were located in the ampulla of the uterine tubes (73.0%). There were three abdominal pregnancies and 2 ovarian. In all cases the treatment was surgical, most often salpingectomy. Postoperative complications occurred in 35.1% of cases, most often anemia (27.9% of all cases) requiring blood transfusion in 11.7% of all cases before, during, or after surgery. The maternal death rate was 1.8%. Ectopic pregnancy remains a major concern at Ignace Deen CHU. Reduction of its frequency requires increased population awareness of sexually transmitted infections and illegal abortions. Management should be prompt and appropriate.
Authors:
I S Baldé; F B Diallo; I Conté; M H Diallo; I Sylla; B S Diallo; T S Diallo; T Sy
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Medecine et sante tropicales     Volume:  24     ISSN:  2261-2211     ISO Abbreviation:  Med Sante Trop     Publication Date:  2014 Aug 
Date Detail:
Created Date:  2014-11-5     Completed Date:  -     Revised Date:  2014-11-6    
Medline Journal Info:
Nlm Unique ID:  101581406     Medline TA:  Med Sante Trop     Country:  -    
Other Details:
Languages:  ENG     Pagination:  297-300     Citation Subset:  -    
Vernacular Title:
Grossesse extra-utérine dans la clinique de gynécologie-obstétrique Ignace-Deen du CHU de Conakry Aspects épidémiologique, sociodémographique, thérapeutique et pronostique.
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