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n African Journal of Reproductive Health - Diagnosis of ruptured ectopic pregnancy is still a challenge in Eastern Sudan : original research article

Volume 15, Issue 4
  • ISSN : 1118-4841
  • E-ISSN: 2141-3606

Abstract

This was a cross sectional prospective study carried out in Kassala Maternity Hospital, Eastern Sudan (2008-2011) to investigate the incidence rate and factors associated with delayed presentation in ruptured ectopic pregnancy. The total number of deliveries during the study period was 9578. The total number of ectopic pregnancy was 199 yielding an incidence rate of (1 in 48 deliveries or 20.7 per 1000 deliveries). One hundred eighty six (93.5%) out of these were ruptured ectopic reflecting very low rate of diagnosis (6.5%) before rupture occurred. Maternal education ≤ secondary, parity and history of subfertilty were associated with ruptured ectopic pregnancy (P =0.00, 0.003 and 0.00 respectively). The causes of delay reported by the patients include: 64.5 not aware of the pregnancy, 28% have been seen by health provider but reassure and 7.5% regarded the symptoms not serious enough to ask for care.


Il s'agit d'une étude prospective transversale qui a été menée dans la Maternité Kassala, au Soudan de l'Est (2008-2011) afin d'étudier le taux d'incidence et les facteurs liés à la présentation retardée dans la rupture de la grossesse extra-utérine. Le nombre total des accouchements pendant la période était 199, ce qui a donné un taux d'incidence de 1 accouchement sur 48 soit 20,7 sur 1000 accouchements. 186 (93,5%) parmi eux étaient des ruptures extra-utérines qui reflètent un taux de diagnostic très bas (6,5%) avant la rupture. L'éducation maternelle ≤ secondaire, la parité et un passé de sous stérilité ont été liés à la rupture de la grossesse extra-utérine (P=0,00, 0,003 et 0,00 respectivement) Les causes du retard signalés par les patientes comprennent : 64,5% n'étaient pas conscientes de la grossesse, 28% se sont passer voir le dispensateur de soins et 7,5% n'ont pas considéré que les symptômes étaient assez sérieux pour rechercher le traitement.

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/content/ajrh/15/4/EJC120864
2011-12-01
2019-09-21

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