Abstract

ESPINOLA CASTIGLIONI, Gladys Romina. Ectopic pregnancy. Rev. Nac. (Itauguá) [online]. 2012, vol.4, n.2, pp.23-29. ISSN 2072-8174.

ABSTRACT Introduction: Ectopic pregnancy is defined as implantation of the blastocyst in any place other than the endometrial cavity. The fallopian tube is the most common, accounting for 95% of ectopic pregnancies. Its frequency has been increasing in the last 20 years, and has been estimated at 14.3 to 16 per 1000 ectopic pregnancies reported. Objective: To determine the prevalence of ectopic pregnancy and their clinical characteristics. Materials and Methods: A retrospective, cross-sectional study was performed, based on the medical records of patients who consulted at the Department of Gynecology and Obstetrics, Faculty of Medicine, National University of Asunción in 2011. We studied the age, chief complaint, gestational age at diagnosis, site of implantation of pregnancy, treatment used and length of hospitalization until the time of discharge. Results: The prevalence of ectopic pregnancy was 1.47%. Mean age was 29 ± 5 years. The most common chief complaint was abdominal pain. The mean gestational age at the time of the consultation was 6.5 ± 1.8 weeks. The most common anatomical site was the tubal location (84%). The treatment of choice was surgery, recurring to medical treatment in only three chances. The mean length of stay was 3.6 ± 3 days. Conclusion: The prevalence of ectopic pregnancy was 1.47% in 2011. Mean age was 29 years, located in the fallopian tubes in 87% and required an average of 3.6 days hospitalization.

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