Rumina Tabassum, Muhammad Ammad Saeed, Mariam Ahmed, Sajeela Naureen, Nusrat H Khan.
Risk factors for Tubal ectopic Pregnancy.
J Surg Pak Jan ;10(4):22-5.

Objective: To determine the risk factors for tubal ectopic pregnancy. Design: A case control study. Place and Duration of Study: This study was conducted at the Gynaecology and Obstetrics Unit III, Civil Hospital Karachi from I t January, 2003 to 31st May, 2005. Patients and Methods: AU the patients diagnosed as a case of ectopic pregnancy during the twenty nine months period were included in our study. While the control group constituted pregnant women selected at random from the antenatal clinics and through person to person communication. AU the relevant data was recorded on a questionnaire and the final results were analyzed. Results: The incidence of ectopic pregnancy was found to be 1:90, when compared with normal deliveries. Age group of 25<=35 yr in 44% and parity between 1-3 in the 50% of the cases was noted. On analysis strong and independent risk factors for the ectopic pregnancy were post partum infections (OR-11.42, p-0.001), confirmed pelvic inflammatory disease (OR-11.11, p-0.001), surgical evacuation (OR-6.78, p-0.009), tuberculosis (OR-4.17, p-0.041) and previous tubal pregnancy (OR-4.17, p-0.041). Conclusion: The problem of pelvic infection, surgical evacuation and previous tubal pregnancy were the main factors of ectopic pregnancy in our study

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