Comparative study of the Ectopic Pregnancy in patients assisted at the Gynecoobstetric Teaching Hospital of Matanzas. 2004-2006

Abstract

Considering that 2 % of the pregnancies are ectopic, by fecundation occurring at the Fallopian Tube, and being able to originate serious alterations with maternal death risk, and that its prevalence increases around the world, in Cuba and at the Gynecoobstetric Teaching Hospital of Matanzas, “Dr. Julio Alfonso Medina”, we report a prospective, descriptive study of the patients treated for suspected ectopic pregnancy, carried out in that hospital from 2004 to 2006. The objective was evaluating the entity behaviour in these patients, and also, its incidence, age and main risk facts. We established a correlation between the clinical diagnosis and the histopathologic findings in patients fulfilling the inclusion parameters, among other variables. Data were recorded in a form designed for that, with the written consent of the patients. The obtained information allowed making a database, processed by the statistic packet SPSS for Windows Version 10.0. The highest frequency of the ectopic pregnancy was 37, 4 % during 2005, being higher in the 25- 34 years-old group for the three years (54.3%). The biggest number of the patients used intra-uterine devices (44, 5 %) and/or have had interrupted a pregnancy before (44.1%). There was a high histopathologic clinical correlation (more than 86 %) in the non-complicated ectopic pregnancies. We concluded that there is a high frequency of the ectopic pregnancy, moving to the teenagers' age group, and we recommend educating the population in order to prevent the risk facts and to early visit the doctor.