Advanced Abdominal Pregnancy: A Study of 13 Consecutive Cases seen in 1993 and 1994 at Komfo Anokye Teaching Hospital, Kumasi, Ghana

  • H.S. Opare-Addo Department of Obstetrics and Gynaecology, Komfo Anokye Teaching Hospital, Kumasi, Ghana
  • S. Deganus Department of Obstetrics and Gynaecology, Komfo Anokye Teaching Hospital, Kumasi, Ghana
Keywords: Advanced abdominal pregnancy, Ghana, Komfo Anokye Hospital, maternal mortality

Abstract



Thirteen cases of advanced abdominal pregnancy (AAP) managed at the Komfo Anokye Teaching Hospital (KATH), Kumasi, Ghana, over a two-year period (1993–1994) are presented. An incidence ratio of one advanced abdominal pregnancy to 1,320 deliveries occurred during this period. The ratio of advanced abdominal pregnancy to ectopic pregnancy was 1:43.7. The perinatal mortality rate and maternal case fatality rates were 69.6% and 15.3% respectively. Recurrent abdominal pains in the gravid patient with abnormal fetal lie and prior history of tubal pregnancy and/or previous abdominal surgery were significant findings in the cases reviewed. These findings should, therefore, always prompt lucid and elaborate ultrasound examination of a pregnancy to exclude abdominal pregnancy.

(Afr J Reprod Health 2000; 4 [1]: 28-39)

Key Words: Advanced abdominal pregnancy, Ghana, Komfo Anokye Hospital, maternal mortality
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