Author(s): Ayinde OA, Aimakhu CO, Adeyanju OA, Omigbodun AO
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Abstract Fourteen cases of abdominal pregnancy managed at the University College Hospital, Ibadan, Nigeria, over a ten-year period (January 1994 to December 2003) were reviewed. The incidence ratio of abdominal pregnancy was one in 654 deliveries. It accounted for 4.3\% of ectopic pregnancies. Age range was 20 to 43 years; 63.4\% of the patients were unemployed and 50\% were nullipara. Pre-operative diagnosis was possible only in half of the cases. Only two patients with advanced pregnancies and live fetuses (14.3\%) were allowed to have conservative management while the others had immediate laparotomy. Live birth rate was 7.1\%, but overall fetal survival rate was 0\%. Fetal malformations were common, with talipes equinovarus and jaw abnormalities occurring in 49.2\% and 14.3\% respectively. Twelve patients (85.7\%) who had complete removal of the placenta, though lost more blood, had better outcome than those with placenta left in-situ. The case fatality rate was 7.1\%.
This article was published in Afr J Reprod Health
and referenced in Journal of Addiction Research & Therapy