Dr Hamza Akhtar, Dr Ehtisham Saleem, Dr Muhammad Fareed Ahmed, Dr Aman Ullah Tariq.
The incidences of ectopic pregnancies in the developed countries have been increased from three to four times throughout the past 20 years. Whereas in the current time the rate of ectopic pregnancies reported is 1.5%. Regardless of achieving advancement in the diagnosis and treatment of ectopic pregnancy it has been still the major cause of maternal death in their first trimester.2 Ectopic pregnancy has some serious consequences it leads to reduction in fertility and there is 20% chance of recurrence with 20-40% chance of ultimate infertility. Cases included in the study were women with a diagnosis of ectopic pregnancy confirmed by laparoscopy or laparotomy, admitted to general hospitals. A total of 158 patients (median age 32 years, range 18-43) were enrolled into the study. The first control group (obstetric controls) included women who gave birth at term (more than 37 weeks gestation) to healthy infants at the same hospitals where the cases had been identified. The control subjects were chosen in randomly selected days within 1 month of case ascertainment. A total of 243 controls (median age 31 years, range 17-44) were interviewed during the study period and were included in this analysis. , this study shows an increased risk of ectopic pregnancy after induced abortion. However, the confidence intervals of relative risk estimates were large, and the lower confidence limit was close to unity, particularly for nonobstetric controls. Thus, in consideration of the potential bias related to selective mechanisms, caution is necessary in the interpretation of the results.