Incidence, Presentation And Management Ectopic Pregnancy

Olasunkanmi Abimbola Kolawole Ectopic pregnancy in Bauchi State, Northern Nigeria; Incidence, Presentation and Management Abstract Ectopic Pregnancy (EP) is a life-threatening gynecological emergency with high morbidity and mortality in northern Nigeria. Maternal mortality refers to the death of a woman while pregnant or within 42 days of termination of pregnancy (Mairiga, et al., 2009). EP cases in northern Nigeria are of late presentations, tubal rupture with associated hemodynamic instability and consequences compounded by poor health system that differs from the global trend of early diagnosis and more conservative management (Mairiga, et al., 2009). Introduction Ectopic pregnancy (EP) is the implantation of a fertilized ovum outside the lining of the endometrial cavity (Ikeme, et al., 2005). EP is also known as tubal pregnancy; the most common site of EP which occurs when the fertilized egg gets stuck on its way to the uterus, due to tubal damage from different causes such as inflammation following a poorly treated pelvic inflammatory disease, hormonal imbalances or abnormal development of a fertilized egg (Ikeme, et al., 2005). Other sites of EP include the ovaries, cervix, broad ligament, abdominal cavity and heterotopic pregnancy though rare in spontaneous pregnancies (1 in 3000-4000), has been recorded in up to 3% of pregnancies from assisted reproduction (Symonds IM.,1998). EPShow MoreRelatedWhat are Abdominal Pregnancy?848 Words   |  4 Pages Abdominal pregnancy is one of the rarest types of ectopic pregnancy. About 1% of ectopic pregnancies in the United States are abdominal (10 out of every 100,000 pregnancies) [1]. The importance of such variety is not only related to the rarity of the diagnosis but also for the seriousness of its sequels; the maternal mortality rate is estimated to be about 5 per 1,000 cases, about seven times the rate for ectopic pregnancy in general, and about 90 times the rate for a normal delivery [2]. TheRead MoreComplications of Obstetric Hemorrhage in the Antepartum and Postpartum Periods1998 Words   |  8 PagesPregnancy and childbirth is a natural process of life in result of timely ovulation and fertilization (Bledsoe, Porter Cherry, 2011). Child delivery occurs daily, usually requiring minimal assistance, however complications can and do arise and as health care professionals it is in our duty to be able to recognise them quickly in order to manage them accordingly (Bledsoe et al., 201 1). This essay will focus on complications of obstetric haemorrhage (OH) in the antepartum and postpartum periods.Read MoreComprehensive Application Of Epidemiology3605 Words   |  15 PagesCOMPREHENSIVE APPLICATION OF EPIDEMIOLOGY 16 Comprehensive Application of Epidemiology: Sexually Transmitted Infections in Adolescents and Youths Juanita M. Huntley Wilkes University Introduction In the United States, incidence and prevalence of many sexually acquired infections are highest among adolescents and young adults. For example, the reported rates of Chlamydia and gonorrhea are highest among females during their adolescent and young adult years. Human papilomaRead MoreChlamydia Host Chlamydia Essay2988 Words   |  12 Pagestalking about secondary prevention we’re talking about somebody who has already acquired chlamydia. We want to treat them as early as possible to prevent some of the long term complications from occurring such as pelvic inflammatory disease and ectopic pregnancy in women, and epididymitis in men. One of the best ways to do this is through screening. â€Å"The screening of women for chlamydial infection is a critical component in a chlamydia prevention program since many women are asymptomatic, and the infectionRead MoreMaagang Pagbubuntis Ng Mga Kabataan9395 Words   |  38 Pagesdamage, hydrocephalus, microcephaly, intracerebral calc ification, and retinal deformities. o  Ã‚  Ã‚  1:900 pregnancies o  Ã‚  Ã‚  Dx: serum analysis during pregnancy o  Ã‚  Ã‚  Mgt: ï‚ §Ã¯â€š  Ã‚  Sulfonamides, but fetal anomaly is uncertain, and sulfa may increased bilirubin levels in newborn ï‚ §Ã¯â€š  Pyrimethamine, anantiprotozoal agent may also be used, but this is antifolic acid drug, so it is administered w/ caution in early pregnancy to prevent reducing folic acid levels. ï‚ §Ã¯â€š  spiramycin 2)  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  RUBELLA (German measles) o  Ã‚  Ã‚  Rubella virusRead MorePatient Family Care Study on Ovarian Cyst at Crh - Cape Coast15920 Words   |  64 Pagestill the period of termination of care. They were fully assured of confidentiality and only the initial names of my patient and relatives were used in the study throughout. My patient was referred to as Miss M.B and the husband Mr. J.A. For easy presentation, the patient/family care study was organized and written in five chapters using the nursing process which includes: 1. Assessment phase: This is the first phase of the nursing process which involves collection of data about the patient/family