Trends in ectopic pregnancy in Ilorin, Nigeria

Objective: To determine the incidence, trends aetiological factors, clinical presentation and management of ectopic pregnancy at the University of Ilorin Teaching Hospital, Ilorin, Nigeria. Methods: Retrospective study of ectopic pregnancies at the University of Ilorin Teaching Hospital, Ilorin, Nigeria. Results: The incidence of ectopic pregnancy during the period was 1 in 69 deliveries or 1.4%. When compared with the incidence of 0.9% between 1987 and 1991, a one and a half increase is noted. Majority of the patients 139 (75.5%) were of low socio-economic status and of low parity 113 (61.4%). The common associated aetiological factors identified included previous induced abortion 105 (57.1%), previous pelvic inflammatory disease 39 (21.1%) and intrauterine contraceptive device 13 (7%). The recurrence rate was 26 (14.1%). Conclusion: The incidence of ectopic pregnancy is on the increase. Measures to reduce the rising incidence include prompt and adequate treatment of pelvic inflammatory disease and sexually transmitted disease. Keywords: Ectopic pregnancy, Ilorin, Trend. Nig. J. of Surgical Research Vol.4(1-2) 2002: 6-1