حاملگی خارج رحمی: بررسی پنج ساله در بیمارستان شهید اکبرآبادی (1376- 1372)

In this research incidence of ectopic pregnancy (EP) was different from other countries (especially USA, 0.11% Versus 1%) Causes of this difference are non distinguish, abortion, unkonown abortion and the most important thing is problems of sexual contaminations that in Iran is less than other countries. In our research we found out interference of application of IUD, infection, history of previous surgery, EP, abortion and curretages. One third of EP cases were accompanied with IUD. Also females with history of previous EP have greatly chance for rehappening EP unless it's etiologic cause realy has been gone. Suitable ages is between 25-41 year - old with maximum prevalence is in 30-35 year - old and among 04 - 06 multipars, with maximum prevalence in 04. All our cases were tubal type pregnancy that confirm over 98-99% tubal EP has been happened. In this study, culdocentesis had an important diagnostic role among our patients. 92.8% of culdocentesis was reported positive that is good guid for diagnosis. Pregnancy test was positive in 88.23% of our cases. Also P-HCO was positive in more than 97% of cases that is good guide for diagnosis too. Sonography would help very much if sonographist is expert. The results show this fact that the rate of EP has increased in recent years in our country as well as other countries. The reasons are use of IUD, OCP, increase of pelvic infection and enterance of sonography, laparoscoy, pHCG and exact diagnosis methods. The way of prevention is group education for females in health and family planning units.