Abstract
Introduction: The incidence of ectopic pregnancy is increasing worldwide. Similarly need for contraception is also on a rise. Even though most commonly adopted contraceptive practice is sterilization in India the incidence of induced abortion is also rising. This study was done to assess whether previous history of induced abortion is a risk factor for ectopic pregnancy.
Materials and Methods: This is a prospective study conducted at conducted at Sree Avittom Thirunal Hospital, Govt Medical College, Trivandrum, Kerala, South India- a major tertiary care hospital. A total of 250 patients including 125 cases of ectopic pregnancy diagnosed by USS and serial Bhcg assay and 125 controls of similar socio demographic profile who attended Gynaec OPD for various complaints as controls were included in this study. Data collected with structured questionnaire regarding risk factors and details of prior induced abortion. Statistical analysis done by SPSS software.
Results: Study established role of prior induced abortion as one of the risk factors for ectopic pregnancy. Even if it is a single abortion the occurrence of ectopic pregnancy is statistically significant (P value 0.002).
Keywords: Ectopic Pregnancy, Risk factor, Induced abortion.
References
- Williams Gynecology, 3rd edition
- Beral V, An epidemiological studyof recent trends in ectopic pregnancy. .Br J Obstet Gynaecol. 1975 Oct;82(10):775-82
- NOEL S. WEISS, MD, DRPH, JANET R. DALING, PHD, AND WONG Ho CHOW, PHD, Control definition in case-control studies of ectopic pregnancy. https://ajph.aphapublications.org/doi/pdf/10.2105/AJPH.75.1.67
- L Weström, L P Bengtsson, and P A Mårdh, Incidence, trends, and risks of ectopic pregnancy in a population of women.Br Med J (Clin Res Ed). 1981 Jan 3; 282(6257): 15–18.
- NFHS-4 - National Family Health Survey, rchiips.org/NFHS/NFHS-4Report.shtml
- National Estimate of Abortion in India Released, https://www.guttmacher.org/news
- A A Levin, S C Schoenbaum, P G Stubblefield, S Zimicki, R R Monson, and K J Ryan, Ectopic pregnancy and prior induced abortion.Am J Public Health. 1982 March; 72(3): 253–256.
- Tharaux-Deneux, Catherine; Bouyer, Jean; Job-Spira, Nadine; Coste, Joël; Spira, Risk of Ectopic Pregnancy and Previous Induced Abortion, American Journal of Public Health . Mar98, Vol. 88 Issue 3, p401-405.
- Virk J1, Zhang J, Olsen J. Medical abortion and the risk of subsequent adverse pregnancy outcomes. N Engl J Med.2007 Aug 16;357(7):648-53.
- Panayotis P. Panayotou, M.D. et al, Induced abortion and ectopic pregnancy, AJOG, October 15, 1972Volume 114, Issue 4, Pages 507–510
- Sawazaki C, Tanaka S: The relationship between artificial abortion and extrauterine pregnancy. In: Harmful Effects of Induced Abortion. Tokyo: Family Planning Federation of Japan, 1966; 49-63.
Corresponding Author
Dr T. V. Saravanakumar
Associate Professor, Dept of OBG, Sree Avittom Thirunal Hospital, Govt. Medical College, Trivandrum