Description of ectopic pregnancy at the Hospital San Juan de Dios de Cali, Colombia, 2005-2006
DOI:
https://doi.org/10.18597/rcog.394Keywords:
ectopic pregnancy, incidence, diagnosis, treatmentAbstract
Objectives: collecting data regarding the incidence of ectopic pregnancy and determining baseline and clinical characteristics and the treatment provided for women with ectopic pregnancy who were atended at Hospital San Juan de Dios de Cali (HSJD) between 1st April 2005 and 31st March 2006.
Materials and methods: this was a descriptive, prospective study using data obtained from the HSJD statistics department's data system and a structured survey of women with ectopic pregnancy.
Results: there were 3,722 live births during this period; 78 were diagnosed as ectopic pregnancy (2,1% incidence, 26 mean and median age).65,4% had no social security and 79% arrived from other institutions. Abdominal pain was the main reason for consulting (42,3%). 53,8% did not use family-planning methods; 29% of those did engage in family-planning used bilateral tubal occlusion. 7,7% had had a prior ectopic pregnancy; 3 of these cases were having their second pregnancy and second ectopic pregnancy. All 78 women with ectopic pregnancy were sent for laparatomy. Mean haemoperitoneum was 544cc and median 500cc. 59% had right ectopic pregnancy and 88,5% were suffering from ectopic rupture. Total salpingectomy was the treatment provided in 96,7% of the cases.
Conclusion: ectopic pregnancy incidence was 2,1%, this being considered high when compared to that reported in the literature. Late diagnosis of ectopic pregnancy in this community predominated, thereby precluding conservative treatment.
Author Biography
Olga Lucía Cuero-Vidal
References
Cunningham FG, Gant NF, Leveno KJ, Gilstrap LC, Haunt JC, Wenstrom KD. Embarazo ectópico. En: Williams Obstetricia. 21 ed. 2001. p. 757-79.
Pisarska MD, Carson SA. Embarazo ectópico. En: Tratado de Obstetricia y Ginecología. 8a. ed. 2000. p. 161-79.
Casanova C. Epidemiología del embarazo ectópico. Revista Cubana de Enfermería 2003;19(3).
Solovera S. Embarazo ectópico. Revisión bibliográfica 1992-2003. Visitado 2007 Ago 30. Disponible en: http://www.cedip.cl/documentos/archivos/33.html
Herranz G. Epidemiología del embarazo ectópico; 1990. Visitado 2007 Ago 30. Disponible en: http://apuntesanatomia.iespana.es/hip/embarazo.htm
Ruiz AI, Ñañez H. Embarazo ectópico. En: Texto de Obstetricia y Perinatología. Bogotá-Colombia: Universidad Nacional de Colombia-Instituto Materno Infantil; 1999. p. 233-50.
Birkhahn R, Gaeta T, Van Deusen S, Tloczkowski J. The ability of traditional vital signs and shock index to identify ruptured ectopic pregnancy. Am J Obstet Gynecol 2003;189:1293-6.
Hill G, Hebert CM. Embarazo ectópico. En: Copeland LJ, Jarell LF, Mogregor J, editors. Ginecología. 1a. ed; 1994. p. 237-53.
Balestena JM, Rodríguez A, Reguera O. Factores epidemiológicos del embarazo ectópico. Rev Cubana Obstet Ginecol 2002;28(3). Visitado 2008 Oct 05. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-600X2002000300004&lng=es&nrm=iso&tlng=es
Bouyer J,Coste J,Shojaei T, Pouly JL, Fernández H, Gervaud L, et al. Risk factors for ectopic pregnancy: a comprehensive analysis based on a large case-control, population-based study in France. Am J Epidemiol 2003;157:185-94.
Luglio JM, Díaz L, Cáceres E. Características clínico-patológicas de las pacientes con diagnóstico de embarazo ectópico en el Hospital Nacional Edgardo Rebagliati Martins entre 1998 y 2002. Rev Med Hered 2005;16:26-30.
González L, Cabrera C, Jiménez J, Grössl J. Embarazo ectópico ovárico con dispositivo intrauterino in situ: caso clínico. Rev Obstet Ginecol Venez 2005;65:203-6.
Saraiya M, Berg CJ, Shulman H, Green CA, Atrash HK. Estimates of the annual number of clinically recognized pregnancies in the United States, 1981–91. Am J Epidemiol 1999;149:1025-9.
Raikhowa M, Glass MR. Rutherford AJ, Balen AH, SharmaV, Cuckle HS. Trend in the incidence of ectopic pregnancy in England and Wales from 1966 to 1996. BJOG 2000;107:369-74.
Thonneau P, Hijazi Y, Goyaux N, Calvez T, Keila N. Ectopic pregnancy in Conakry, Guinea. Bull World Health Organ 2002;80:365-70.
Jaramillo E. Morbi-mortalidad materna en el Hospital de Caldas, Manizales. Colombia Med 1997;28:77-84.
Enríquez B, Fuentes L, Gutiérrez N, León M. Tendencias actuales en el tratamiento del embarazo ectópico. Rev Cubana Obstet Ginecol 2003;29(3). Visitado 2008 Oct 05. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-600X2003000300002&lng=es&nrm=iso&tlng=es
Levine D. Ectopic pregnancy. En: Callen PW. Ultrasonography in Obstetrics and Gynecology. 4 ed. 2000. p. 912-34.
Lipscomb G, Stovall T, Ling F. Nonsurgical treatement of ectopic pregnancy. N Engl J Med 2004;343:1325-9.
Teran J. Metotrexate y conducta expectante en el embarazo ectópico no roto. Rev Obstet Ginecol Venez 2002;62:161-74.
Nelson AL, Adams Y, Nelson LE, Lahue AK. Ambulatory diagnosis, and medical management of ectopic pregnancy in public teaching hospital serving indigent women. Am J Obstet Gynecol 2003;188:1541-50.
Stovall T. Medical management should be routinely used as primary therapy for ectopic pregnancy. Clin Obstet Gynecol 1995;38:347-61.
Zarhi J, Campana C, Brito R, Stuardo P, Schalper A. Manejo laparoscópico conservador de embarazo cornual. Rev Chil Obstet Ginecol 2003;68:36-41.
How to Cite
Downloads
Downloads
Published
Issue
Section
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
