Correlation between Ectopic Pregnancy and Reproductive History among Pregnant Women in Karbala City/ Iraq

Abstract

Background: Ectopic pregnancy (EP) is a major problem in obstetrics, with warnings of an uptick in cases all over the world. It contributes significantly to maternal morbidity and mortality. Ectopic pregnancy is a common and potentially life-threatening disorder that affects about (2%) of all pregnancies in the United States. It happens when a fertilized ovum implants outside of the uterus, usually in the ampulla of the fallopian tubes. The abdomen, cervix, caesarean-section scar, and ovary have all been identified as implantation sites.

Aims of the study: To find out the correlation between ectopic pregnancy and reproductive history of pregnant women and to identify demographic characteristics of pregnant women with ectopic pregnancy.

Methodology: This study was conducted at maternity hospital in Karbala city in Iraq to assess the physical health problems of women with ectopic pregnancy. This study was started in January 2020 to March 2021, The data regarding women's health problems was achieved of the patient’s charts that recorded in the Statistical Department in the hospital, the study consist of (40) women with ectopic pregnancy which were selected according to inclusion criteria (Women who had ectopic pregnancy, Women in reproductive age only). The data are analyzed through the use of cross-sectional study (descriptive) and inferential statistics analysis procedures were employed for the data analysis.

Results: The findings of the study exhibits that that there is significant relationship between ectopic pregnancy and number of abortion among women at p-value =0.020, but there is no significant relationship has been reported among ectopic pregnancy and regular menstrual cycle, gravidity, parity, lived children, stillbirth, mode of delivery, and use of contraceptive.

Conclusion: There is a correlation between incidence of ectopic pregnancy and previous history of pregnant.

Recommendations: Encourage women to commitments in regular visits to primary health care centers to detecting and screening ectopic pregnancy early and providing health education to pregnant women during their visits about the causes and risk factors of ectopic pregnancy.