[Epidemiology of ectopic pregnancy: incidence, risk factors and outcomes]

Autor: Bouyer, Jean
Přispěvatelé: Epidémiologie, Démographie et Sciences Sociales: santé reproductive, sexualité et infection à VIH (Inserm U569), Epidémiologie, sciences sociales, santé publique (IFR 69), Université Paris 1 Panthéon-Sorbonne (UP1)-Université Paris-Sud - Paris 11 (UP11)-École des hautes études en sciences sociales (EHESS)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Paris 1 Panthéon-Sorbonne (UP1)-Université Paris-Sud - Paris 11 (UP11)-École des hautes études en sciences sociales (EHESS)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Institut national d'études démographiques (INED)-Institut National de la Santé et de la Recherche Médicale (INSERM), Kaniewski, Nadine
Jazyk: francouzština
Rok vydání: 2003
Předmět:
Zdroj: Journal de Gynécologie Obstétrique et Biologie de la Reproduction
Journal de Gynécologie Obstétrique et Biologie de la Reproduction, Elsevier Masson, 2003, 32, pp.S8-17
Journal de Gynécologie Obstétrique et Biologie de la Reproduction, 2003, 32, pp.S8-17
ISSN: 0368-2315
Popis: Two entities must be differentiated in ectopic pregnancy (EP) epidemiology: EP occurring in women without contraception (reproductive failure) and with contraception (contraceptive failure). These two entities differ on almost all issues. After a great increase between 1970 and 1990, incidence of EP has decreased over the next 10 years. At the present time, the incidence of EP with contraception goes on decreasing while the incidence of EP without contraception is increasing. Three quarters of EP are ampullary, and 4.5% are extra-tubal. The two main risk factors for EP without contraception are a history of infection or tubal surgery and smoking. Quantitatively, their relationships with EP risk are similar. The other risk factors are age, prior spontaneous abortion, prior induced abortion, previous use of an intra-uterine device, and history of infertility. The total attributable risk of all these factor is 76%. Maternal mortality following EP is quite uncommon in developed countries. Immediate morbidity is not sufficiently documented, however long-term psychological consequences may be important.
Databáze: OpenAIRE