Abdominal pregnancy at the University College Hospital, Ibadan: a ten-year review.
Fourteen cases of abdominal pregnancy managed at the University College Hospital, Ibadan, Nigeria, over a ten-year period (January 1994 to December 2003) were reviewed. The incidence ratio of abdominal pregnancy was one in 654 deliveries. It accounted for 4.3% of ectopic pregnancies. Age range was 20 to 43 years; 63.4% of the patients were unemployed and 50% were nullipara. Pre-operative diagnosis was possible only in half of the cases. Only two patients with advanced pregnancies and live fetuses (14.3%) were allowed to have conservative management while the others had immediate laparotomy. Live birth rate was 7.1%, but overall fetal survival rate was 0%. Fetal malformations were common, with talipes equinovarus and jaw abnormalities occurring in 49.2% and 14.3% respectively. Twelve patients (85.7%) who had complete removal of the placenta, though lost more blood, had better outcome than those with placenta left in-situ. The case fatality rate was 7.1%.
Ayinde
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Department of Obstetrics and Gynaecology, University College Hospital, Ibadan, Nigeria. sola_ayinde@yahoo.com
Aimakhu
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Adeyanju
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Omigbodun
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D000328:Adult; D003906:Developing Countries; D005260:Female; D006785:Hospitals, University; D006801:Humans; D007813:Laparotomy / Q000379:methods; D008875:Middle Aged; D009549:Nigeria; D011247:Pregnancy; D011256:Pregnancy Outcome; D011269:Pregnancy, Abdominal / Q000000981:diagnostic imaging* / Q000401:mortality / Q000601:surgery*; D018566:Pregnancy, High-Risk; D011295:Prenatal Care / Q000379:methods; D012042:Registries; D012189:Retrospective Studies; D018570:Risk Assessment; D015996:Survival Rate; D016896:Treatment Outcome; D016216:Ultrasonography, Prenatal