Abstract

Aim: The aim was to study the risk factors and prognosis of ruptured ectopic pregnancy.
Method: We conducted a retrospective and descriptive study about ruptured ectopic pregnancy at the university clinic of gynecology and obstetric, over a period of 05 years (01/01/2009 to 31/12/2013). Data collection was done by a count of records using a questionnaire developed for this purpose. A total of 336 cases were recorded and analyzed by EPI Data Version 3.1.
Results: The overall incidence of ectopic pregnancy was 1.89% and 88.69% of cases were ruptured. The average age was 28 years. The most affected age group was between 20 and 29 years. They were mainly married women (43.62%), nulliparous and pauciparous (53.36%). The most contributing risk factor was history of genital infections (45.31%). 81.54% of patients were referred from a peripheral center. The highest number of ruptured ectopic pregnancy occurred between 7 and 10 weeks of gestation (39.6%). 92.95% of patients underwent radical surgery with total salpingectomy. 56.71% among the latter underwent per operative auto transfusion. The prognosis was marked by one death (0.4%).
Conclusion: Ruptured ectopic pregnancy is one of the causes of morbidity and maternal death.