TY - JOUR
T1 - Risk factors for ectopic pregnancy among pregnant women attending a tertiary healthcare facility in Accra, Ghana
AU - Asah-Opoku, Kwaku
AU - Oppong, Samuel A.
AU - Ameme, Donne K.
AU - Nuamah, Mercy A.
AU - Mumuni, Kareem
AU - Yeboah, Alexander O.
AU - Ndanu, Tom A.
AU - Nkyekyer, Kobinah
N1 - Publisher Copyright:
© 2019 International Federation of Gynecology and Obstetrics
PY - 2019/10/1
Y1 - 2019/10/1
N2 - Objective: To investigate risk factors for ectopic pregnancy among pregnant women attending the Korle-Bu Teaching Hospital, Accra, Ghana. Methods: In an unmatched case–control study from September to November 2015, 104 women with ectopic pregnancy (cases) were compared with 208 women with intrauterine pregnancy (controls). Data were collected by interviewer-administered questionnaire and record review. Bivariable analysis was used to compare characteristics. Multivariate logistic regression was used to assess associations between risk factors and ectopic pregnancy. Adjusted odds ratios (aORs) and 95% confidence interval (CIs) were reported. Results: Risk factors for ectopic pregnancy were being single (aOR, 5.5; 95% CI, 2.15–14.65), sexual debut at younger than 15 years (aOR, 36.4; 95% CI, 2.49–532.49), multiple sexual partners (aOR, 4.8; 95% CI, 1.76–13.36), previous instrumental evacuation of uterus (aOR, 5.8; 95% CI, 1.20–27.99); previous diagnosis of infertility (aOR, 6.1; 95% CI, 1.36–27.28), being uninsured (aOR, 11.8; 95% CI, 4.23–32.74), and condom use (aOR, 6.1; 95% CI, 1.36–27.28). Conclusion: Women who were single with early sexual intercourse, multiple partners, instrumental evacuation of the uterus, and diagnosis of infertility were at risk of ectopic pregnancy. Identification of these factors should facilitate early diagnosis and treatment of ectopic pregnancy.
AB - Objective: To investigate risk factors for ectopic pregnancy among pregnant women attending the Korle-Bu Teaching Hospital, Accra, Ghana. Methods: In an unmatched case–control study from September to November 2015, 104 women with ectopic pregnancy (cases) were compared with 208 women with intrauterine pregnancy (controls). Data were collected by interviewer-administered questionnaire and record review. Bivariable analysis was used to compare characteristics. Multivariate logistic regression was used to assess associations between risk factors and ectopic pregnancy. Adjusted odds ratios (aORs) and 95% confidence interval (CIs) were reported. Results: Risk factors for ectopic pregnancy were being single (aOR, 5.5; 95% CI, 2.15–14.65), sexual debut at younger than 15 years (aOR, 36.4; 95% CI, 2.49–532.49), multiple sexual partners (aOR, 4.8; 95% CI, 1.76–13.36), previous instrumental evacuation of uterus (aOR, 5.8; 95% CI, 1.20–27.99); previous diagnosis of infertility (aOR, 6.1; 95% CI, 1.36–27.28), being uninsured (aOR, 11.8; 95% CI, 4.23–32.74), and condom use (aOR, 6.1; 95% CI, 1.36–27.28). Conclusion: Women who were single with early sexual intercourse, multiple partners, instrumental evacuation of the uterus, and diagnosis of infertility were at risk of ectopic pregnancy. Identification of these factors should facilitate early diagnosis and treatment of ectopic pregnancy.
KW - Ectopic pregnancy
KW - Hospital
KW - Infertility
KW - Multiple partners
KW - Risk factors
UR - http://www.scopus.com/inward/record.url?scp=85070840982&partnerID=8YFLogxK
U2 - 10.1002/ijgo.12928
DO - 10.1002/ijgo.12928
M3 - Article
C2 - 31344263
AN - SCOPUS:85070840982
SN - 0020-7292
VL - 147
SP - 120
EP - 125
JO - International Journal of Gynecology and Obstetrics
JF - International Journal of Gynecology and Obstetrics
IS - 1
ER -