Document Detail


Ruptured tubal pregnancy in Makurdi, north central Nigeria.
MedLine Citation:
PMID:  18390139     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Ruptured tubal pregnancy remains a major cause of early foetal wastage and maternal mortality in Nigeria and other developing countries. This study was done to determine the incidence, predisposing factors, clinical presentation and management options of ruptured tubal pregnancy at the Federal Medical Centre Makurdi. METHODOLOGY: A retrospective descriptive study of 35 cases of ruptured tubal pregnancy managed at the Federal Medical Centre, Makurdi, between January 2004 and December 2006 was conducted. RESULTS: The incidence of ruptured tubal pregnancy was 0.87% of total births (1 in 114 deliveries) and accounted for 94.6% of all ectopic pregnancies. There was a rising trend in the incidence of ruptured tubal pregnancy from 0.65% in 2004 to 1.09% in 2006. Identified risk factors include previous pelvic infection and previous induced abortions. Abdominal pain (100%), vaginal bleeding (65.7%), dizziness (62.9%) and amenorrhoea (57.1%) were the commonest symptoms. The ampulla was the site of rupture in 27(77.1%) patients. All patients had laparotomy. Unilateral total salpingectomy was done in 31(88.5%) patients. There was no maternal death in the cases managed. CONCLUSION: The incidence of ruptured tubal pregnancy is relatively low at the Federal Medical Centre Makurdi. Health education of women in the reproductive age on safe sex and eradication of unsafe abortion and early treatment of pelvic infections will prove useful preventive measures.
Authors:
T Z Swende; A A Jogo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria     Volume:  17     ISSN:  1115-2613     ISO Abbreviation:  Niger J Med     Publication Date:    2008 Jan-Mar
Date Detail:
Created Date:  2008-04-08     Completed Date:  2008-04-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100888321     Medline TA:  Niger J Med     Country:  Nigeria    
Other Details:
Languages:  eng     Pagination:  75-7     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, Federal Medical Centre, Makurdi, Nigeria. Swendetz@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Abortion, Induced / adverse effects
Adolescent
Adult
Female
Gynecologic Surgical Procedures
Humans
Incidence
Laparotomy
Maternal Mortality*
Maternal Welfare
Nigeria
Pelvic Inflammatory Disease / complications
Pregnancy
Pregnancy, Tubal / etiology*,  surgery
Retrospective Studies
Risk Factors
Rupture / complications*

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


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