Between 1970 and 1987, 782 women died as a result of ectopic pregnancies
. Overall, the case-fatality rate decreased 95%, from 35.5 per 10,000 ectopic pregnancies
in 1970 to 3.4 per 10,000 in 1987.
More than 95% of ectopic pregnancies
occur in the fallopian tube.
Researchers of the Edinburgh University have found a chemical in cigarette smoke that causes a reaction, which may lead to ectopic pregnancies
(17,18) One reason may be the discordant appearance of fetal cardiac activity in coexisting intrauterine and ectopic pregnancies
. Alternatively, the gestational sac may be anembryonic.
A decision-analysis study found that performing transvaginal ultrasound, followed by measuring beta-hCG when ultrasound results were nondiagnostic, identified all ectopic pregnancies
in the fastest time (1.46 days) with the fewest interrupted intrauterine pregnancies (less than 1%).
These tests have been found to be positive in 80% to 85% of ectopic pregnancies
. (34) Urine monoclonal antibody, enzyme-linked immunosorbent tests represent the most recent advancement in urine pregnancy testing and can detect hCG levels as low as 25 mIU/mL.
Data recorded included Intraoperative findings of 110 cases of operated ectopic pregnancies
and TVS findings of all 110 cases, which were done preoperatively.
Ectopic pregnancy constitutes approximately 1%-2% of all pregnancies and is observed in 6%-16% of all patients who are admitted to emergency services with vaginal bleeding and inguinal pain.1,2 A decline in morbidity and mortality rates associated with ectopic pregnancy has been reported following developments in imaging methods and the definition of the BhCG monitoring protocol.1 Because of more frequent diagnosis of ectopic pregnancies
, the use of medical agents for treatment has increased as an alternative to surgical treatment because they are more effective, cost-effective, and safer.
The incidence of partial or complete hydatidiform mole is approximately 1 in 500 to 1 in 1000 pregnancies. Molar changes may also be found in ectopic pregnancies
. Ectopic pregnancy occurs in 20/1000 pregnancies. Thus, the ectopic molar gestation is very rare.
At least 67 ectopic pregnancies
(abdominal, ovarian, and tubal) have been reported in patients previously subjected to hysterectomy, since its description for the first time in 1895 (1-8).
Schonheyder, "Ectopic pregnancies
and reproductive capacity after Chlamydia trachomatis positive and negative test results: a historical follow-up study," Sexually Transmitted Diseases, vol.
Fortunately, cervical ectopic pregnancies
are a rare occurrence, less than 1% of all pregnancies in the United States .