Characterization of ectopic pregnancy
Keywords:
ectopic pregnancy, epidemiology, surgeryAbstract
Introduction: during the last 20 years the incidence of ectopic pregnancy has doubled or tripled, mainly in developed countries. This increase behaves differently in countries, regions or population areas. Objective: to characterize the behavior of ectopic pregnancy in the Guantánamo General Teaching Hospital "Dr. Agostinho Neto "during the year 2006. Method: the universe consisted of 763 patients with ectopic pregnancy in the period 2002-2006. The sample was 175, all of the year 2006. The variables studied were: age group, symptoms on admission, means of diagnosis, clinical forms and operations performed. Results: discrete growth was obtained in the number of ectopic pregnancies during the years of study. The age group of 20-24 obtained 31.4% in frequency and that of 25-29 and 34.9%. 85.7% of the patients presented with symptoms of abdominal pain and abnormal vaginal bleeding, followed by those with lower abdominal pain and amenorrhea (78.3%). In 73 patients it was diagnosed by the clinic plus culdocentesis in 41.8% of the cases and only in 9 by clinical plus laparoscopy. Conclusions: there was an increase in ectopic pregnancies. The year of greatest frequency was 2006. The age group of 25 to 29 years and the primiparous patients predominated. The predominant symptom of admission was lower abdominal pain and abnormal vaginal bleeding. The diagnosis with more frequency was the clinic plus culdocentesis. The complicated unstable ectopic pregnancy, the tubal implantation site and the ampullary location with total salpingectomy as the operation were the most frequent.Downloads
Download data is not yet available.
References
1. Pearlman M. Obstetric and Gynecologic Emergencies. Diagnosis and Management [en línea]. Amazon: Mc Graw Hill; 2003:[aprox. 590 p.]. Disponible en: https://www.amazon.com/Obstetric-Gynecologic-Emergencies-Diagnosis-Management/dp/0071379371
2. Kurjack. Donald School textbook of transvaginal sonography [en línea]. Taylor and Francis: Jaypee Brothers Medical Publishers; 2005. [aprox. 590 p.]. Disponible en: https://www.amazon.com/Donald-School-Textbook-Transvaginal-Sonography/dp/818061459X
3. Jian Z, Linan C. Ectopic gestation following emergency contraception with levonorgestrel. Eur J Contracept Reprod Health Care. 2003 Dec; 8(4):225-8.
4. Sheffer-Mimouni G, Pauzner D, Maslovitch S, Lessing JB, Gamzu R. Contraception. 2003 Apr; 67(4):267-9.
5. American college of Obstetricians and Ginecology. Tubal and Peritoneal. Factor in Precis. U. An Upate in Obstetrics in genecology. 2004.
6. Rigol OR. Obstetricia y Ginecología. La Habana: Editorial Ciencias Médicas; 2006.
7. Cynthia MF. Ectopic Pregnancy. The Lancet. 2005; 366:583-591.
8. Murray H, Baakdah H, Bardell T, Tulandi T. Diagnosis and treatment of ectopic pregnancy. Can Med Ass J. 2005; 173(8): 905-912.
9. Cabeza Cruz E. Embarazo ectópico. Rev Cubana Med Gen Integ. 2000; 26(1): 50-7.
10.Ezcurra R, Lamberto N, Peñas V. Dolor abdomino-pélvico en ginecología. An Sist Sanit Navar [en línea]. 2009 [citado 13 Nov 2007]; 32 (Supl. 1): 49-58. Disponible en: http://scielo.isciii.es/pdf/asisna/v32s1/ginecologia5.pdf
11.Cutié Bressler ML, Figueroa Mendoza M, Lestayo Dorta C, Cubero Menéndez O. Embarazo ectópico. Su comportamiento en los años 1989-1999. Rev Cubana Obstet Ginecol [en línea]. 2001 [citado 13 Nov 2007]; 27(1):5-11. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-600X2001000100001
12.Álvarez Baez PL, Águila Setien S, Acosta Maltas R. Sangramiento en obstetricia. Cap. 26. En: Rigol Obstetricia y Ginecología. 2 ed. La Habana: Editorial Ciencias Médicas; 2007. p. 293-319.
13.Fabiola Gallegos G, Carolina Pávez O, Marcelo Jara M. Embarazo Ectopico Intersticial complicado: urgencia ginecológica. Rev Chil Obst Gin [en línea]. 2005 [citado 13 Nov 2007]; 70 (6):414-17. Disponible en: https://scielo.conicyt.cl/pdf/rchog/v70n6/art12.pdf
14.Rodríguez O. Embarazo Ectópico en el Hospital General Docente “Agostinho Neto” en el período de 1995–2001. [Tesis Ginecología y Obstetricia]. Guantánamo: Hospital General Docente “Agostinho Neto”; 2002.
15.Zite NB, Lipscomb GH, Merrill K. Molar cornual ectopic pregnancy. Obstet Gynecol. 2002; 99:891-2.
16.Fylstra D. Ectopic pregnancy within a cesarean scar: a review. Obstet Gynecol Surv. 2002; 57:537-43.
17.Fylstra D. et.al. Ectopic pregnancy within a cesarean delivery scar: A case report. Am J Obstet Gynecol. 2002; 187:302-4.
18.Brown WD, Burrows L, Todd CS. Ectopic pregnancy after cesarean hysterectomy. Obstet Gynecol. 2002; 99:933-4.
19.Wendi D, Burrows L, Todds C. Ectopic pregnancy after cesarean hysterectomy. Obstet Gynecol. 2002; 99:933-4.
2. Kurjack. Donald School textbook of transvaginal sonography [en línea]. Taylor and Francis: Jaypee Brothers Medical Publishers; 2005. [aprox. 590 p.]. Disponible en: https://www.amazon.com/Donald-School-Textbook-Transvaginal-Sonography/dp/818061459X
3. Jian Z, Linan C. Ectopic gestation following emergency contraception with levonorgestrel. Eur J Contracept Reprod Health Care. 2003 Dec; 8(4):225-8.
4. Sheffer-Mimouni G, Pauzner D, Maslovitch S, Lessing JB, Gamzu R. Contraception. 2003 Apr; 67(4):267-9.
5. American college of Obstetricians and Ginecology. Tubal and Peritoneal. Factor in Precis. U. An Upate in Obstetrics in genecology. 2004.
6. Rigol OR. Obstetricia y Ginecología. La Habana: Editorial Ciencias Médicas; 2006.
7. Cynthia MF. Ectopic Pregnancy. The Lancet. 2005; 366:583-591.
8. Murray H, Baakdah H, Bardell T, Tulandi T. Diagnosis and treatment of ectopic pregnancy. Can Med Ass J. 2005; 173(8): 905-912.
9. Cabeza Cruz E. Embarazo ectópico. Rev Cubana Med Gen Integ. 2000; 26(1): 50-7.
10.Ezcurra R, Lamberto N, Peñas V. Dolor abdomino-pélvico en ginecología. An Sist Sanit Navar [en línea]. 2009 [citado 13 Nov 2007]; 32 (Supl. 1): 49-58. Disponible en: http://scielo.isciii.es/pdf/asisna/v32s1/ginecologia5.pdf
11.Cutié Bressler ML, Figueroa Mendoza M, Lestayo Dorta C, Cubero Menéndez O. Embarazo ectópico. Su comportamiento en los años 1989-1999. Rev Cubana Obstet Ginecol [en línea]. 2001 [citado 13 Nov 2007]; 27(1):5-11. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-600X2001000100001
12.Álvarez Baez PL, Águila Setien S, Acosta Maltas R. Sangramiento en obstetricia. Cap. 26. En: Rigol Obstetricia y Ginecología. 2 ed. La Habana: Editorial Ciencias Médicas; 2007. p. 293-319.
13.Fabiola Gallegos G, Carolina Pávez O, Marcelo Jara M. Embarazo Ectopico Intersticial complicado: urgencia ginecológica. Rev Chil Obst Gin [en línea]. 2005 [citado 13 Nov 2007]; 70 (6):414-17. Disponible en: https://scielo.conicyt.cl/pdf/rchog/v70n6/art12.pdf
14.Rodríguez O. Embarazo Ectópico en el Hospital General Docente “Agostinho Neto” en el período de 1995–2001. [Tesis Ginecología y Obstetricia]. Guantánamo: Hospital General Docente “Agostinho Neto”; 2002.
15.Zite NB, Lipscomb GH, Merrill K. Molar cornual ectopic pregnancy. Obstet Gynecol. 2002; 99:891-2.
16.Fylstra D. Ectopic pregnancy within a cesarean scar: a review. Obstet Gynecol Surv. 2002; 57:537-43.
17.Fylstra D. et.al. Ectopic pregnancy within a cesarean delivery scar: A case report. Am J Obstet Gynecol. 2002; 187:302-4.
18.Brown WD, Burrows L, Todd CS. Ectopic pregnancy after cesarean hysterectomy. Obstet Gynecol. 2002; 99:933-4.
19.Wendi D, Burrows L, Todds C. Ectopic pregnancy after cesarean hysterectomy. Obstet Gynecol. 2002; 99:933-4.
Published
2018-12-21
How to Cite
1.
Matos Quiala HA, Rodríguez Lara O, Estrada Sánchez G, Martínez Enfedaque M, Saap Nuño A, Osorio Rodríguez M, et al. Characterization of ectopic pregnancy. Rev Inf Cient [Internet]. 2018 Dec. 21 [cited 2025 Apr. 3];97(6):1100-1. Available from: https://revinfcientifica.sld.cu/index.php/ric/article/view/2174
Issue
Section
Original Articles
