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Ecotopic Pregnancy

Female sterilization by tubal ligation is an increasingly common method of contraception, and is now the most commonly used method of fertility regulation worldwide . It is considered a permanent form of contraception because of its low failure rate, however when there is conception it is likely to be an ectopic pregnancy which is a major cause of morbidity and mortality for women of reproductive age in the first trimester of pregnancy. Treatment of ectopic pregnancies in developing countries like Nigeria has remained largely by the surgical approach (laparotomy) due to late presentation of the patients during which the ectopic pregnancies would have ruptured with associated hemodynamic instabilities. Therefore, ectopic pregnancy should always be considered in women of reproductive age presenting with lower abdominal pain and ammenorrhoea even if they have had tubal sterilization. Women who have had bilateral tubal ligation should be counseled on the remote chance of failure and the need to present early if they have symptoms and signs suggestive of pregnancy. (Akaba GO, Ekele BA, Onafowokan O, Nombur LI, Oluwole OP, et al. (2013) Ruptured Ectopic Pregnancy after Bilateral Tubal Ligation: A Case Report)
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Last date updated on September, 2024

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