Introduction: Ectopic pregnancy is the gynaecological emergency with an increasing incidence in gynaecological ward worldwide, which has greater mortality and morbidity especially in third world countries like Tanzania due to its late diagnosis. Since there is no study done in Tanga. Region to evaluate the burden of this disease; the study was conducted evaluate the prevalence and treatment outcomes among patients with ectopic pregnancy at Bombo Regional hospital, Tanga Region Tanzania.
Methodology: This was a retrospective descriptive cross-sectional study. It was done in Tanga Regional Hospital from August 2010 to August 2013. One hundred and twenty case notes of women admitted with diagnosis of ectopic pregnancy were collected, serially by using a structured checklist until the sample size was reached. Data was analyzed using SPSS version 17. A p<0.05 was considered significant at 95% confidefence interval.
Results: On this study 120 (2.2%) patients were managed for ectopic pregnancy among all hospital admissions in the period of three years of the study. About 72.5% patients presented with ruptured ectopic pregnancy while 27.55% presented with un-ruptured ectopic pregnancy. Out of these, 29 were primigravidae and 111 were having more than one child which implies that, an ectopic pregnancy occur most in multiparous than in nulliparous. Also 30% had previous history of STI’s which is one of the risk factors for ectopic pregnancy and might be the contributing factor for them to get ectopic pregnancy. Approximately 88% of patients received blood transfusion.
Conclusion: Most patients had ruptured ectopic pregnancy (72.5%) and few un-ruptured ectopic and make a prevalence of 2.18% which was low compared to worldwide. The common risk factors were previous history of STI, previous ectopic pregnancy and Primigravida patients; the outcomes were blood transfusion, shock and death. 88% of patients had blood transfusion several units for replacement and for life serving. There was association between STI’s and ruptured, recurrent ectopic pregnancy which shows 28.7% of ruptured ectopic pregnancy with STI. Education on risk factors of ectopic pregnancy should be given to the community in order for the pregnancy women to be aware and they should attend early antenatal clinic for diagnostic to avoid life threatening complications.