Kumari Priya, Bharti Atima, Hansda Rani
Department of Obstetrics and Gynaecology, Rajendra Institute of Medical Sciences (RIMS), Ranchi, Jharkhand, India.
J Family Med Prim Care. 2025 May;14(5):1958-1962. doi: 10.4103/jfmpc.jfmpc_1665_24. Epub 2025 May 31.
Ectopic pregnancy (EP) is an obstetrical emergency. It could be considered a public health indicator in the developing world because ectopic pregnancy presents as an acute emergency and it is a life-threatening event, providing a picture of a health system's capacity to handle the diagnosis and management of emergencies. This study investigated the incidence, socio-demographic, and other risk factors associated with ectopic pregnancy among women in early pregnancy.
This cross-sectional observational study enrolled 102 women with ectopic pregnancy from June 2023 to May 2024 in a tertiary health center.
Participants were selected by consecutive sampling and baseline data were collected by using a predesigned and pretested structured questionnaire. All patients with ectopic pregnancy who met the criteria for inclusion were included.
The incidence of ectopic pregnancy in this study was 1.3%. The majority of these women (57.8%) were between the ages of 20-30 years, (76.4%) were multigravida, (78.4%) were in lower socioeconomic class, (78.4%) were from rural areas, (30.39%) were from tribal population, and 81.4% were referred cases from peripheral hospitals. Pelvic inflammatory disease (PID) was the most common (12.75%) and important risk factors among women followed by female sterilization failure (8.83%), (4.90%) had a history of tuberculosis.
The study concluded that women of reproductive age with pelvic inflammatory disease are at risk of ectopic pregnancy. Assessment of women at risk factors and modification will reduce incidence.
异位妊娠（EP）是一种产科急症。在发展中世界，它可被视为一项公共卫生指标，因为异位妊娠表现为急性急症且危及生命，能反映出卫生系统处理急症诊断和管理的能力。本研究调查了早孕女性中异位妊娠的发病率、社会人口学特征及其他相关风险因素。
这项横断面观察性研究于2023年6月至2024年5月在一家三级医疗中心纳入了102例异位妊娠女性。
通过连续抽样选取参与者，并使用预先设计和预测试的结构化问卷收集基线数据。所有符合纳入标准的异位妊娠患者均被纳入。
本研究中异位妊娠的发病率为1.3%。这些女性中大多数（57.8%）年龄在20至30岁之间，（76.4%）为多产妇，（78.4%）社会经济地位较低，（78.4%）来自农村地区，（30.39%）来自部落人口，81.4%为来自周边医院的转诊病例。盆腔炎（PID）是女性中最常见（12.75%）且重要的风险因素，其次是女性绝育失败（8.83%），（4.90%）有结核病史。
该研究得出结论，患有盆腔炎的育龄女性有异位妊娠风险。对有风险因素的女性进行评估并加以改善将降低发病率。
