ECTOPIC PREGNANCY IN NDUTH, OKOLOBIRI- 5 YEAR CASE RETROSPECTIVE REVIEW

Objective: To access the incidence of ectopic pregnancy, the risk factors, presentation in respect to maternal morbidity and mortality in NDUTH Okolobiri, Bayelsa State. Method: Retrospective review of patients with proper hospital records admitted and treated in our centre for ectopic pregnancy was carried out. The review was taken from January 2009 to December 2013.Analysis was carried out using Epi-info 2007 version 7.1.4.0. Results: A total of 130 women were admitted with EP during the study period. The rate of ectopic pregnancy was 4.62% for a total of 2815 life deliveries, and 39.88% of all gynecological surgeries. No maternal death due to EP, risks factors found in 66.92% of the patients. The mean age of women was 29.2±5.7 year std. with the range of 17-45 years. Most of the ectopic pregnancies occurred in the age bracket of 24-34 years group (68.5%).There was one case of abdominal pregnancy. The commonest mode of diagnosis was through physical examination findings. The most common presenting symptom was abdominal pain 115(88.46%). A total of 113(87.60%) women presented with ruptured ectopic, 122(93.85%) women had blood transfusion, 86(67.72%) of the women where haemodynamically unstable on admission. Conclusively open abdominal surgery was performed in all the 130 cases, none of the patients benefited from less invasive laparosc opic surgery, conservative expectant management, or medical treatment of methotrexate.