Abstract

Aim of Study: This Thesis was done to clarify & asses the risk factors of ectopic pregnancy for women refferd to the obstetrical ward of Al-Mawanyaa- general hospital, Basra City. Study design: A prospective study achieved in the obstetrical ward of Al-Mawanyaa General Hospital for 52 patients for assessment of risk factors of ectopic pregnancy. Patients & Methods: During the period of study from December 2022 to October 2023., 52 patients diagnosed with ectopic pregnancy were referred to the obstetrical ward of Al-Mawanyaa General Hospital included in this study. Information were taken, involved the name of the patient, age, parity, history of previous pelvic infection, history of infertility, ovulation induction & IVF, contraception, previous pelvic surgery, abortion, Previous ectopic pregnancy, vaginal douching, in addition to their race & smocking. Then, we analysed this information according to the most frequent risk factors. Result: Ectopic pregnancy is found to be more among laydies aged with (20-35) years old (67.3%), whom are multiparus (82.7%). The most frequent risk factors were the presence of previous pelvic surgery (34.7%) to be followed by previous pelvic infection (19.2%). Contraception as a risk factor was (17.4%), especially with combined oral contraceptive pills (13.5%), History of infertility (15.4%), especially with ovulation induction, and rarely in patients with abortion (11.6%). Vaginal douching was very rare (3.9%). While cases having a history of previous ectopic pregnancy, use of the progesterone-only pill or LNG device, sterilization failure, in vitro fertilization, and smocking were absecent throughout my study. Conclusion: Ectopic pregnancy tends to be more in the peak reproductive age group (20-35) years & the increament of parity in adition to previous pelvic surgery were a major risk for developic ectopic pregnancy in this study