Open Access Journal Indian Journal of Medical Research and Pharmaceutical Sciences December 2014; 1(7) ISSN: 2349 – 5340 © Indian Journal of Medical Research and Pharmaceutical Sciences http://www.ijmprs.com/ [10] ECTOPIC PREGNANCY IN NDUTH, OKOLOBIRI- 5 YEAR CASE RETROSPECTIVE REVIEW Ekine A A*, Harry C T, Ibrahim IA, Abasi I *Department of Obstetrics and Gynaecology, NDUTH, OKolobiri, Bayelsa State, Nigeria Department of Internal Medicine, NDUTH, Okolobiri, Bayelsa State, Nigeria Department of Obstetrics and Gynaecology, NDUTH, Okolobiri, Bayelsa State, Nigeria Department of Obstetrics and Gynaecology, NDUTH, Okolobiri, Bayelsa state, Nigeria Email: adokin1960@gmail.com Abstract Keywords: Ectopic pregnancy, Laparotomy, Complications, Transfusion, Okolobiri. Objective: To access the incidence of ectopic pregnancy, the risk factors, presentation in respect to maternal morbidity and mortality in NDUTH Okolobiri, Bayelsa State. Method: Retrospective review of patients with proper hospital records admitted and treated in our centre for ectopic pregnancy was carried out. The review was taken from January 2009 to December 2013.Analysis was carried out using Epi-info 2007 version 7.1.4.0. Results: A total of 130 women were admitted with EP during the study period. The rate of ectopic pregnancy was 4.62% for a total of 2815 life deliveries, and 39.88% of all gynecological surgeries. No maternal death due to EP, risks factors found in 66.92% of the patients. The mean age of women was 29.2±5.7 year std. with the range of 17-45 years. Most of the ectopic pregnancies occurred in the age bracket of 24-34 years group (68.5%).There was one case of abdominal pregnancy. The commonest mode of diagnosis was through physical examination findings. The most common presenting symptom was abdominal pain 115(88.46%). A total of 113(87.60%) women presented with ruptured ectopic, 122(93.85%) women had blood transfusion, 86(67.72%) of the women where haemodynamically unstable on admission. Conclusively open abdominal surgery was performed in all the 130 cases, none of the patients benefited from less invasive laparosc opic surgery, conservative expectant management, or medical treatment of methotrexate. Introduction An ectopic pregnancy, or eccysis, is a complication of pregnancy in which the embryo implants outside the uterine cavity. With rare exceptions, ectopic pregnancies are not viable. Furthermore, they are often present as an acute emergency dangerous for the mother when ruptured, since internal hemorrhage is a life-threatening complication. Most ectopic pregnancies occur in the Fallopian tube (so-called tubal pregnancies), but implantation can also occur in the cervix, ovaries, and abdomen. An ectopic pregnancy is a potential medical emergency, and, if not treated properly, can lead to death 1 . It is the leading cause of maternal morbidity, and mortality in the 1 st . trimester, and account for 10-15% of all maternal deaths mainly in the developing world. 1 In a normal pregnancy, the fertilized egg enters the uterus and settles into the uterine lining where it has plenty of room to divide and grow. About 1% of pregnancies is in an ectopic location with implantation not occurring inside of the womb, and of these, 98% occurs in the Fallopian tubes, which is line with the result from this study. It has been recorded to have directly or indirectly contributed to about 10% of maternal mortality worldwide for all pregnancies 1,2 . Many publications have shown an increase of two to four folds in some part of the world, most particularly where adequate medicare is not available, although lesser increase has also been recorded in the developed world including European countries, North America, Australia etc. Increase figures of 19.7 per 1000 pregnancies were reported in the United States in 1992 1,3 . While the increase in incidence of ectopic pregnancy is universal, life threatening emergencies are on the decrease in the developed countries due to enhanced diagnostic capabilities, and patients awareness of their health