An epidemiological study on the relationship of ectopic pregnancy and the use of contraceptives in Beijing--the incidence of ectopic pregnancy in the Beijing area. Beijing Collaborating Study Group for Ectopic Pregnancy.

The incidence of ectopic pregnancy (EP) was studied through a 3-level monitoring network of maternal and child health care (MCH) in the entire Beijing area, including 82 hospitals, 19 MCH centers and 2 institutes for family planning. A total of 1,420 cases of EP were collected in a sample of 2.7 million women of reproductive age (15-49) during a one-year period from January 1 to December 31, 1990. The cases were confirmed by pathological examination or laparoscopy. In addition, epidemiological surveillance method was used. The results showed that the overall incidence of EP was 0.52 per thousand women of reproductive age (W = Women of reproductive age (15-49)) in the Beijing area, 0.6/1000W in the urban districts and 0.41/1000 in the rural area; 0.67/1000W married women, and 0.05/1000W in the unmarried. For married women, 0.54/1000W for those women using various contraceptive measures and 1.80/1000W for women using no contraceptives. The incidence of EP varies with different contraceptive methods. Female sterilization had the lowest incidence (0.18/1000W) and natural contraceptive measures (rhythm or withdrawal method) had the highest (2.43/1000W). It was 0.65/1000W in IUD users, 0.21/1000W in OC users and 0.57/1000W in couples using condoms or spermicides.