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  • Title: Reproductive performance among patients with tubal ectopic pregnancy.
    Author: Oronsaye AU.
    Journal: Niger Med J; 1979 Feb; 9(2):247-51. PubMed ID: 543266.
    Abstract:
    Researchers studied 68 cases of tubal ectopic pregnancy that occurred at the university hospital in Benin city, Nigeria from February 1973- January 1976. Medical records existed for only 53 cases. The ratio of ectopic pregnancy to deliveries stood at 1:58 (incidence: 1.7%). Excluding maternity cases, these 68 cases represented 6.5% of all gynecological and adult female admissions. 1 of 40 abdominal surgeries performed at this hospital was due to a tubal ectopic pregnancy. Therefore it represents a significant condition in Nigeria. 90% of the women were 40 years old. 68% of the cases already had between 2-5 children. Average parity stood at 2.6. Only 9.4% of the women were nulliparous. Spontaneous abortions occurred in 26.48% of the women. Further, the investigators observed that the lower the parity the higher the incidence of spontaneous abortion. For example, the abortion rate for women with no children and those with 1 stood at 100% and 73.9% respectively while for women with 5 and 5 children it stood at 11.76% and 10.8% respectively. 58% of the cases had experienced a previous pelvic infection. Since there was an association between a high abortion rate and tubal ectopic pregnancy, the researchers also pointed out a possible common etiological factor causing both spontaneous abortions and tubal ectopic pregnancies. therefore a woman who may be likely to experience an early spontaneous abortion may be just as likely to have a tubal ectopic pregnancy and vice versa. Health practitioners should consider any pregnant woman who has had a tubal pregnancy to be at risk of a spontaneous abortion or early labor.
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