title: Frequency of ectopic pregnancy in a medical centre, Kingdom of Saudi Arabia.
abstract: OBJECTIVE
  To asses the frequency of ectopic pregnancy and to evaluate the relevance of the risk factors in a Medical Center, Kingdom of Saudi Arabia (KSA).
  
  
  METHODS
  This retrospective study was done in Royal Commission Medical Centre, Yanbu Industrial City, KSA over a period of four years, where the medical records of patients with the diagnosis of ectopic pregnancy were reviewed. Data was collected on initial presentation, chief medical complaints, sociodemographic characteristics, past obstetrics and gynaecological history, history of previous surgeries (tubal, ovarian and/or uterine), history of infertility and use of ovulation induction and history of contraception was obtained. A total of 66 cases were included in the study.
  
  
  RESULTS
  The frequency of ectopic pregnancy was 0.58%. Mean age was 30 +/- 4 years. Multiparous women were found to be more prone to ectopic pregnancy (64%). Most frequent gestational age was 6-8 weeks. Majority (37.8%) of the patients had previous medical induced or spontaneous abortion. 18% had previous pelvic surgery, 15% used different treatments for infertility including ovulation induction, Intrauterine Insemination (IUI), and Invitro Fertilization (IVF) and 9% of patients had history of ectopic pregnancy, 4.5% of patients had Intrautrine Contraceptive Device (IUCD) in situ. 3% of patients had uterine fibroids.
  
  
  CONCLUSIONS
  Study has found that previous abortions are major etiological factor for ectopic pregnancy. Further more the other factors were IUCD use, previous pelvic surgeries, infertility, previous ectopic and induced conception cycles which may be the result of a previous pelvic infection that may cause tubal sequelae.
authors.affiliation: Department of Obstetrics & Gynaecology, Royal Commission Medical Center, Yanbu, KSA.
authors.forename: Shaista
authors.initials: S
authors.lastname: Aziz
authors.forename: Bothaina
authors.initials: B
authors.lastname: Al Wafi
authors.forename: Hussain
authors.initials: H
authors.lastname: Al Swadi
mesh_terms: D000328:Adult; D005260:Female; D005865:Gestational Age; D006785:Hospitals, University; D006801:Humans; D008423:Maternal Age; D011247:Pregnancy; D011256:Pregnancy Outcome; D011271:Pregnancy, Ectopic / Q000453:epidemiology* / Q000209:etiology / Q000601:surgery; D012189:Retrospective Studies; D012307:Risk Factors; D012529:Saudi Arabia / Q000453:epidemiology; D055815:Young Adult