Incidence, Predictors And Outcomes Of Pregnancy Within Two Years After Unilateral Salpingectomy For Ruptured Tubal Ectopic Pregnancy

Abstract

Background: An EP oftenly implants in the oviducts and accounts for 1-2% of all pregnancies. It leads to reproductive failure in affected women. Up to 40-60% women conceived after surgery in developed nations with varying outcomes and associated factors. These parameters are unknown in Kenya and Sub-Saharan Africa at large. Objective: To determine incidence, predictors and outcomes of pregnancy among women who desired to conceive within 2 years after unilateral salpingectomy for ruptured tubal EP at KNH between 2011and 2013. Methodology Study design: A case cohort study was conducted among 276 women. Ninety two women (cases) conceived while 184 women (controls) did not conceive during study period. Study procedures: A structured questionnaire was completed by the principal investigator via telephone administered interviews and participants’ medical records. Data analysis: Data analysis was conducted using SPSS version 21 using 95% CI. Results: It was established that 92 (33.3%) got pregnant. The predictors of pregnancy included age, complications during previous pregnancies, absence of pelvic adhesions etc. Ninety percent of pregnancies were IUP and 10% were repeat EP. Conclusion: The incidence of pregnancy was much lower (33%) when compared to elsewhere (60%). None of the predictors of pregnancy were in tandem with data from elsewhere. Rate of IUP was higher (90% versus 60%) while repeat EP was comparable (10% versus 19%) with estimates from literature.