MANAGEMENT AND PROGNOSIS OF ECTOPIC PREGNANCY AT THE UNIVERSITY HOSPITAL-Pr BOCAR SIDI SALL DE KATI

Introduction: Ectopic pregnancy is the implantation and development of the egg outside the uterine cavity. The epidemiological and therapeutic profiles of ectopic pregnancy differ from one country to another and from one health facility to another. This study, which is a first at the University Hospital PrBocarSidySall of Kati, aims to study ectopic pregnancy in the context of our daily practice.

Methods and Patients : Our study was retrospective, cross-sectional and descriptive. It took place from January 2014 to December 2019 in the obstetrics gynecology department of theUniversity Hospital PrBocarSidySall of Kati. The data were collected using a survey form and obtained from the patients medical record, the hospitalization register, the delivery register and the registers of surgical reports. Data were analyzed with SPSS version 20.0 software.

Results: A total of 99 records were collected during the study period, representing a frequency of 0.53% of emergency visits and 1.88% of deliveries. A history of genital infection was found in 78% of cases. In our series, women with low parity were more numerous with 77.8% of cases. We found more right-sided and ruptured Ectopic pregnancies. The treatment was surgical in 92.2% of cases and the procedure performed was essentially a total salpingectomy.

Conclusion : The improvement of the technical platform of our health care facilities and preventive measures against the risk factors of the Ectopic pregnancy could reduce the burden of this pathology.