Document Detail


Ectopic pregnancy and pelvic inflammatory disease: a renewed epidemic?
MedLine Citation:
PMID:  20472335     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The incidence of ectopic pregnancy (EP) was reported to rise during the 1970s and 1980s; thereafter it remained stable or even declined. We studied whether changes in the incidence of pelvic inflammatory disease (PID) have had an impact on the incidence of EP and we hypothesise about the incidence of EP in the near future.
STUDY DESIGN: EP and PID hospital admissions from 1980 to 2005 were derived from Dutch Medical Registries and incidence trends were calculated and analysed by joinpoint regression.
RESULTS: The peak incidence of EP in 1988 (11/1000 live births) was preceded by a peak incidence of admissions for PID in 1983 (0.6/1000 women of all ages). The EP rate declined towards 2005 (7.3/1000 live births) mainly due to a decrease in EP in urban regions and in older aged women (> or =35 years). Presently, women <25 years and born between 1985 and 1990 are again at an increased risk of EP (12/1000 live births) but this rise was not preceded by a peak incidence of admissions for PID.
CONCLUSION: On a population level, the peak incidence of EP in The Netherlands was preceded by a peak incidence of PID. A renewed rise in the incidence of EP is observed for young women. This may be related to the significant increase in positive tests for genital Chlamydia trachomatis during recent years.
Authors:
Femke Mol; Norah M van Mello; Ben W Mol; F van der Veen; Willem M Ankum; Petra J Hajenius
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-05-15
Journal Detail:
Title:  European journal of obstetrics, gynecology, and reproductive biology     Volume:  151     ISSN:  1872-7654     ISO Abbreviation:  Eur. J. Obstet. Gynecol. Reprod. Biol.     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-19     Completed Date:  2010-11-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375672     Medline TA:  Eur J Obstet Gynecol Reprod Biol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  163-7     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier Ireland Ltd. All rights reserved.
Affiliation:
Department of Obstetrics and Gynaecology, Academic Medical Centre, Amsterdam, The Netherlands. f.mol@amc.nl
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MeSH Terms
Descriptor/Qualifier:
Adult
Chlamydia Infections / complications,  epidemiology,  microbiology
Chlamydia trachomatis / isolation & purification
Cohort Studies
Female
Humans
Incidence
Netherlands / epidemiology
Pelvic Inflammatory Disease / complications,  epidemiology*,  microbiology
Pregnancy
Pregnancy, Ectopic / epidemiology*,  etiology
Regression Analysis
Retrospective Studies
Rural Population
Urban Population
Young Adult

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


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