MBchB study guide

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7Management and Outcome of EctopicPregnancy in Developing CountriesBuowari Yvonne DabotaMedical Women Association Of Nigeria, Rivers State BranchNigeria1. IntroductionEctopic pregnancy is a common life-threatening emergency in the developing world and itsfrequency is still high. Ectopic pregnancy is the commonest cause of maternal morbidity andmortality in the first trimester of pregnancy (Airede & Ekele 2005, Grimes 1994, Okunlola etal 2006). Complications of early pregnancy are common clinical conditions that often requireemergency care. The patient may or may not be aware that she is pregnant at the time ofevaluation at the emergency department (Complications of pregnancy, 2007). Diagnosis isfrequently missed and should be considered in any woman in the reproductive age grouppresenting with abdominal pain or vaginal bleeding especially when combined with anepisode of collapse or syncope. Ectopic pregnancy is a complication of pregnancy in whichthe products of conception develop outside the uterine cavity. With rare exceptions, ectopicpregnancies are not viable. By far the commonest site is the fallopian tube (Hanretty, 2004).It is a tragedy of reproduction and a form of reproductive failure in the index pregnancy ofaffected women. Such women have a 7-15% chance of recurrence and only 40-60% chance ofconceiving after surgery (Aboyeji et al, 2002). Ectopic pregnancy remains a majorgynaecological problem in contemporary gynaecological practice. Not only

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