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Ectopic Pregnancy: History, Incidence, Epidemiology, and Risk Factors

MARION, LAURA L. BS; MEEKS, GEORGE RODNEY MD

Clinical Obstetrics & Gynecology:
doi: 10.1097/GRF.0b013e3182516d7b
Ectopic Pregnancy
Abstract

Ectopic pregnancy is directly related to tubal infection, and so prevention of chlamydia and gonorrhea must be the watchword to lower its risk and incidence. With accurate determination of very low human chorionic gonadotropin concentrations and sonography, >85% of women are diagnosed before tubal rupture, which has led to medical therapy and laparoscopic surgery with tubal preservation and the potential for future fertility. Today, early intervention saves lives and reduces morbidity, but ectopic pregnancy still accounts for 4% to 10% of pregnancy-related deaths and leads to a high incidence of ectopic site gestations in subsequent pregnancies.

Author Information

Department of Obstetrics and Gynecology, University of Mississippi School of Medicine, Jackson, Mississippi

The authors declare that they have nothing to disclose.

Correspondence: George Rodney Meeks, MD, Department of Obstetrics and Gynecology, University of Mississippi School of Medicine, Jackson, MS 39216. E-mail: rmeeks@umc.edu; grmeeks@bellsouth.net

© 2012 Lippincott Williams & Wilkins, Inc.