title: Ectopic tubal pregnancy in Zimbabwe.
abstract: A study of 441 ectopic tubal pregnancies treated at Harare Central Hospital between 1981-84 was carried out.  During that time, there were 162,964 deliveries in the unit.  The incidence of tubal pregnancy in this study was only 0.27%.  Patients ranged in age from 13-46 years with the majority (67%) between ages 20-29.  88% of the patients were parous, the mean parity being 2.6  96% of the patients complained of abdominal pain, 78% of amenorrhea, and 64% of abnormal uterine bleeding.  Abdominal tenderness (96%) and cervical excitation (91%) were the most significant signs.  Paracentesis was positive in 78% of the cases.  It was a little value in the diagnosis of chronic or unruptured tubal pregnancy.  There was 1 maternal death.
authors.forename: J
authors.initials: J
authors.lastname: Kasule
authors.forename: R
authors.initials: R
authors.lastname: Seeras
mesh_terms: D000349:Africa; D017954:Africa South of the Sahara; D000351:Africa, Eastern; D017677:Age Distribution; D000367:Age Factors; D001723:Birth Rate; D003267:Contraception; D003268:Contraception Behavior; D003710:Demography; D003906:Developing Countries; D004194:Disease; D005193:Family Planning Services; D005298:Fertility; D013502:General Surgery; D005843:Geography; D015994:Incidence; D007813:Laparotomy; D013513:Obstetric Surgical Procedures; D010298:Parity; D011153:Population; D011154:Population Characteristics; D011157:Population Dynamics; D011248:Pregnancy Complications; D011271:Pregnancy, Ectopic; D012106:Research; D012107:Research Design; D013812:Therapeutics; D015030:Zimbabwe
keywords: Africa; Africa South Of The Sahara; Age Distribution; Age Factors; Contraception; Contraceptive Usage; Demographic Factors; Developing Countries; Diseases; Eastern Africa; English Speaking Africa; Family Planning; Fertility; Fertility Measurements; Geographic Factors; Incidence; Laparotomy; Measurement; Obstetrical Surgery; Parity; Population; Population Characteristics; Population Dynamics; Pregnancy Complications; Pregnancy, Ectopic--etiology; Research Methodology; Surgery; Treatment; Zimbabwe