Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2012 , Vol 3, Issue 1
Epidemiologic Analysis of Patients Who Were Diagnosed As Ectopic Pregnancy In Our Clinic Between January 2008 and March 2011
Ayşe Ender Yumru, Burcu Dinçgez, Anıl Murat Sever, Abdülhamit Bozyiğit, Yavuz Tahsin Ayanoğlu
Taksim Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, İstanbul, Türkiye Aim: To evaluate risk factors, diagnosis and treatment procedures in women admitted to our clinic with ectopic pregnancy.

Materials and Methods: A total of 75 women who were diagnosed as having an ectopic pregnancy at the Taksim Educationand Research Hospital between January 2008 and March 2011 were included in this study. All data were analyzed retrospectively. Age, complains, β-HCG levels, transvaginal ultrasound findings, fetal cardiac activity, last menstrual date, risk factors, contraception method and treatment procedures were evaluated.

Results: The mean age of the patients was 30,4 ± 5,9 years. Thirty patients (40%) applied with pain, ten (13%) with a delay of menstrual bleeding and 35 (47%) with vaginal hemorrhage. Mean gestational age at the time of diagnosis was 5 ± 1,7 weeks and mean β-HCG level was 4338 ± 6341,5 mIU/ml. With transvaginal ultrasonography, ectopic focii were detected in 55 patients (73%) and the mean lesion size was 36,6 ± 16,2 mm. Fetal cardiac activity within the ectopic pregnancy was observed in 18 patients (32%). Distribution of contraception methods was; condoms in five cases (6,6%), oral contraceptive in three cases (%4), intrauterin devices in 14 cases (18,7%) and no contraception method in 53 patients. Four patients had previous surgery for ectopic pregnancy, seven patients had cesarean section, one patient was previously operated on an adnexal mass, one patient had myomectomy, three patients had appendectomy and one patient had bowel operation. Surgery for ectopic pregnancy was performed in 49 patients (65,3%), medical treatment was performed in eight patients (10,7%) and expectant management was performed in 18 patients (24%). Medical management was unsuccessful in one patient and surgery was performed. All patients were treated successfully and no mortality was observed.

Conclusion: In our study vaginal hemorrhage (47%) was the most common complaint, recent abdominal surgery was the most important risk factor (22,7%), intrauterin device was the most common contraception method (18,7%) and surgery was the most common treatment method (65,3%). We conclude that the mortality of ectopic pregnancy can be reduced with early diagnosis and treatment. Keywords : ec topic pregnancy,epidemiology