Thesis (M.Sc.) -Cairo University, 2022.

Bibliography: pages 9-10.

: Ectopic pregnancy is a major contributing factor to the burden of maternal
mortality and morbidity in the early half of pregnancy. The aim of study was to assess
prevalence of ectopic pregnancy in women under study and determine the risk factors
correlated to ectopic pregnancy in the study sample. Design: Descriptive design was
adopted in the current study. Sample: Convenience sample of 121 women diagnosed with
ectopic pregnancy were recruited, 76 women were interviewed in 2020 (prospective
group), 44 were from hospital records (retrospective group). Tool: A structured
interviewing questionnaire, hospital, medical records were utilized to collect the data.
Results: Prevalence of ectopic pregnancy in current study (0.52%, 0.62 and 0.72%) in
2018, 2019, and 2020 respectively. Risk factors of ectopic pregnancy were multi-gravida
(55.2%), history of abortion (43.3%) history of PID (40%), history of abdominal and
pelvic surgery (22.60%), history of infertility (19.1%), history of ART usage (16.5%),
failure of intrauterine devices (13.3%), history of previous ectopic pregnancy (9.2%) and
history of cesarean section deliveries more than three times (5.8%) sequentially.
Conclusion; Ectopic pregnancy is an increasingly common and potentially catastrophic
condition. The prevalence of ectopic pregnancy among women who present to emergency
with 1st trimester bleeding or pain or both was matched with the worldwide prevalence.
Multigravida, abortion and PID were the most common risk factors of ectopic pregnancy in
the current study. Recommendations; Early diagnosis of an ectopic pregnancy via detailed
history focusing on identification of risk factors for ectopic pregnancy will promote
successful medical management thus reducing surgical intervention and ultimately
reducing maternal morbidity/mortality with preservation of future fertility.

الحمل خارج الرحم يعتبر من أحد العوامل الرئسيه لرفع معدلات المرض والوفيات في بدايه النصف الاول من الحمل.
الهدف من هذه الدراسه معرفة معدل حدوث الحمل خارج الرحم بالسيدات عينه الدراسة وأيضا تحديدعوامل الخطوره
المرتبطه به داخل العينه. التصميم: تم إعتماد تصميم إرتباط وصفي لهذه الدراسة. العينه: أجريت الدراسة علي 121 أم
شخصت بالحمل خارج الرحم 69 أم تم جمع البنات منها عن طريق الحوار في سنه 2020 )مجموعه العينه
المستقبليه(, و 22 أم جمعت بياناتهم بأثر رجعي من الملفات المؤرشفه بالمستشفي )مجموعه العينه الماضيه(. النتائج:
تراوحت معدل حدوث الحمل خارج الرحم لعام 2020 و 2016 و 2012 من ) 0762 %و 0701 % و 0793 %(علي
التوالي .عوامل الخطوره المرتبطه بالحمل خارج الرحم لهذه العينه تمثلت في الحمل لاكثر من ثلاثه مراث قبل ذلك
%0072 (, اللأمهات التي تحمل تاريخ مسبق بالجهاض ) 2373 %( وتاريخ مسبق بأمراض البطن والحوض المزمنه (
%20 ( وعمليات البطن والحوض ) 2279 %( وحدوث عقم مسبق ) 1671 %( واستخدام التكنولوجبا المساعده في (
التخصيب والإنتاج ) 1970 %( والحمل علي اللولب اثناء استخدامه كوسيلة منع الحمل ) 1373 %( والحمل خارج الرحم
المسبق ) 672 %( والولاده القيصريه لاكثر من ثلاثه مرات قبل ذلك ) 072 %

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