The Incidence and Management Outcomes of Ectopic Pregnancy at the JFK Liberian-Japanese Friendship Maternity Hospital Monrovia, Liberia: A one-year Review

Abstract

Background: Ectopic pregnancy at the beginning of the reproductive career of a young couple could cause a major reproductive failure and upset in an average African family. Objectives: The study was to determine the incidence and management outcomes of ectopic pregnancy at the JFK Liberian-Japanese Friendship Maternity Hospital Monrovia. Materials and Method: The study involved all patients seen with ectopic pregnancy at the JFKMH from June 2017 to June 2018. Information such as socio-demographic characteristics, clinical and operation details of the patients were extracted. Data were coded and analysed with IBM SPSS 19 statistical package.  The results were summarized in frequency and percentage. Measures of central tendency were employed for quantitative variables.

Results: There was a total number of 59 cases of ectopic pregnancy while the number of delivery was 2609. The incidence of ectopic pregnancy was 22.6/1000 Live birth.

The mean age ± SD was 29.3±6.73 years. Most of the patients were within the age group of 20-24 and 24-29 (23.7%) years and were single 46 (78.0%). Up to 67.8 % of the patient (40) had previous history of abortion. Ninety-eight percent of the patient presented with ruptured ectopic pregnancy and in 39 (66%) patients the ectopic pregnancy was on the right tube. More than three quarter of the patients (76.3%) were transfused following surgery. Their mean Shock Index was 1.38 (0.76-1.88). Surgery was the only treatment option of which almost all had salpingectomy. There was no mortality recorded.

Conclusion: The incidence of ectopic pregnancy was high. Single and multiparous women are more affected. Patients were admitted in hemodynamic shock and salpingectomy was the only mode of treatment.

Key Words: Ectopic Pregnancy, Management, Liberia.