[Current aspects of extra-uterine pregnancy in Libreville (Gabon): an account of 153 cases].
The impact of extra-uterine pregnancy is still increasing in the world. At the same time, its treatment is being improved in developed countries. The purpose of this study is to assess the current aspects of extra-uterine pregnancy in Libreville (Gabon) and to suggest actions which may improve its vital prognosis in the African context. The present study is only prospective and focuses on 153 extra-uterine cases of pregnancy recorded from February 1, 1997 to July 31, 2000. The average frequency was 2.32%. This frequency has been steadily increasing and went from 2% in 1997 to 2.32 % in 2000. The average age of the patients was 29. Extra-uterine pregnancy was diagnosed until the patients were 17. It concerned all parities. The average age was 8 weeks of pregnancy. Three para-clinical investigations allowed the confirmation of the diagnosis: ultrasound scan, coelioscopy, beta GCH plasma dosage. Laparotomy was the main therapeutic solution. No maternal death was recorded. The education of women capable of procreating on the necessity of early consultations, the supplying of hospitals with means which allow para-clinical investigations and the motivation of medical staff seem to be the main solutions to decrease the mortality rate due to extra-uterine pregnancy in Africa.
Meyé
Jean-François
JF
Maternité Joséphine-Bongo, BP 3976 Libreville Gabon. meye.jf@voila.fr
Sima-Zue
Adrien
A
Olé
Boniface Sima
BS
Kendjo
Eric
E
Engongah-Béka
Toussaint
T
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D005260:Female; D005681:Gabon / Q000453:epidemiology; D006801:Humans; D007813:Laparotomy; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy; D011379:Prognosis; D011446:Prospective Studies; D012307:Risk Factors