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Title: Ectopic pregnancy in Aberdeen 1950-1985. Author: Flett GM, Urquhart DR, Fraser C, Terry PB, Fleming JC. Journal: Br J Obstet Gynaecol; 1988 Aug; 95(8):740-6. PubMed ID: 3166950. Abstract: The reported incidence of ectopic pregnancy in Aberdeen City and suburbs (1950-1985), using as denominators maternities, pregnancies and women aged 15-44 years, has increased threefold since 1970 to 6.4/1000 pregnancies. This increased incidence persisted after the exclusion of previously sterilized women. A total of 11,128 women were sterilized in Aberdeen City and suburbs between 1960 and 1982; 36 ectopic pregnancies occurred in this sterilized population. The prevalence of ectopic pregnancy was 3.55/1000 sterilizations. This did not alter significantly over the period of study despite changes in the method of sterilization. However, due to the increased popularity of sterilization, the proportion of ectopic pregnancies in women who had been sterilized increased from 0% in the 1950s to 21% in the quinquennium 1975-1979. The incidence of ectopic pregnancy in a stable, geographically defined population served by the Aberdeen Maternity Hospital was determined from hospital census data: it rose 3-fold from 1950-1985. Ectopic pregnancy incidence remained fairly constant from 1950-1974, ranging from 2.40-3.10/1000 pregnancies (2.87-3.40/1000 maternities, and 0.20-0.27/1000 women aged 15-44). Then incidence rose to 6.40/1000 pregnancies (8.7/1000 maternities and 0.45/1000 women aged 15-44). From 1950-1982, of 413 ectopic pregnancies, 36 were in previously sterilized women. Although the prevalence of ectopic pregnancy in sterilized women remained steady around 3.55/1000, there were 6 in women sterilized by postpartum laparotomy (1.9/1000), 6 in women having open laparotomy (2.4/1000), and 23 in women having laparoscopic tubal diathermy (5.4/1000). The preponderance of right side ectopic pregnancy (53.6%) remains unexplained. Similarly, the explanation for the rising incidence of ectopic pregnancy is unclear, although sensitive pregnancy tests and high-resolution ultrasound may have improve diagnosis.[Abstract] [Full Text] [Related] [New Search]