title: [Ectopic pregnancy at the Ignace Deen University Hospital in Conakry: epidemiologic, social, demographic, therapeutic, and prognostic aspects].
abstract: The objectives of this study were to calculate the frequency of ectopic pregnancy in the department, define its epidemiological, diagnostic, therapeutic, and prognostic aspects, and determine a clear therapeutic approach appropriate to our setting. In this prospective study, we compiled all cases of ectopic pregnancy seen in 2011 and 2012 in the obstetrics-gynecology department at Ignace Deen University Hospital in Conakry. Ectopic pregnancies represented 1.3% of all deliveries over this period. In the 111 cases in this population, women aged 30-34 years accounted for 31.5%, those pregnant for the first time 40.5%, nulliparous women 35.1%, married women 72.1%, those without schooling 43.2%), and those with a history of sexually transmitted infection 57.6% (these categories are not exclusive, and the same women may be included in several). Secondary amenorrhea with abdominopelvic pain and metrorrhagia was the reason for admission in 56.5% of cases. Ultrasound in early pregnancy is infrequent in Conakry. Almost all of our patients underwent emergency surgery (80.2%) More than half of the ectopic pregnancies were located in the ampulla of the uterine tubes (73.0%). There were three abdominal pregnancies and 2 ovarian. In all cases the treatment was surgical, most often salpingectomy. Postoperative complications occurred in 35.1% of cases, most often anemia (27.9% of all cases) requiring blood transfusion in 11.7% of all cases before, during, or after surgery. The maternal death rate was 1.8%. Ectopic pregnancy remains a major concern at Ignace Deen CHU. Reduction of its frequency requires increased population awareness of sexually transmitted infections and illegal abortions. Management should be prompt and appropriate.
authors.affiliation: Service de gynécologie-obstétrique Donka, CHU de Conakry, Guinée.
authors.forename: I S
authors.initials: IS
authors.lastname: Baldé
authors.affiliation: Service de gynécologie-obstétrique Donka, CHU de Conakry, Guinée.
authors.forename: F B
authors.initials: FB
authors.lastname: Diallo
authors.affiliation: Service de gynécologie-obstétrique Ignace-Deen, CHU de Conakry, Guinée.
authors.forename: I
authors.initials: I
authors.lastname: Conté
authors.affiliation: Service de gynécologie-obstétrique Donka, CHU de Conakry, Guinée.
authors.forename: M H
authors.initials: MH
authors.lastname: Diallo
authors.affiliation: Service de gynécologie-obstétrique Ignace-Deen, CHU de Conakry, Guinée.
authors.forename: I
authors.initials: I
authors.lastname: Sylla
authors.affiliation: Service de gynécologie-obstétrique Donka, CHU de Conakry, Guinée.
authors.forename: B S
authors.initials: BS
authors.lastname: Diallo
authors.affiliation: Service de gynécologie-obstétrique Donka, CHU de Conakry, Guinée.
authors.forename: T S
authors.initials: TS
authors.lastname: Diallo
authors.affiliation: Service de gynécologie-obstétrique Ignace-Deen, CHU de Conakry, Guinée.
authors.forename: T
authors.initials: T
authors.lastname: Sy
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D017677:Age Distribution; D000568:Amenorrhea / Q000209:etiology; D004522:Educational Status; D005260:Female; D016701:Guinea / Q000453:epidemiology; D006785:Hospitals, University; D006801:Humans; D008428:Maternal Mortality; D008796:Metrorrhagia / Q000209:etiology; D010052:Ovariectomy; D010298:Parity; D011183:Postoperative Complications; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis / Q000453:epidemiology* / Q000601:surgery*; D011379:Prognosis; D011446:Prospective Studies; D058994:Salpingectomy
keywords: Guinea-Conakry; ectopic pregnancy; prognosis; sociodemographic; treatment