caa a22 4500 445306459 CHVBK 20180317142614.0 cr unu---uuuuu 170323e20110101xx s 000 0 eng 10.1007/s00404-009-1260-4 doi (NATIONALLICENCE)springer-10.1007/s00404-009-1260-4 A 30-year review of advanced abdominal pregnancy at the Mater Misericordiae Hospital, Afikpo, southeastern Nigeria (1976-2006) [Elektronische Daten] [Ileogben Sunday-Adeoye, Deirdre Twomey, Emeka Egwuatu, Patrick Okonta] Purpose: This analysis attempts to highlight the varied presentations, diagnostic difficulties, management and subsequent obstetric performances of women managed for advanced abdominal pregnancy. Methods: A retrospective analysis of all 20 cases of abdominal pregnancies between 1976 and 2006, at the Mater Misericordiae Hospital, Afikpo, southeastern Nigeria was performed. Results: There were 20 cases of abdominal pregnancy out of 58,000 deliveries, giving an incidence of 0.34 per 1,000 deliveries. The diagnoses were missed in 10 cases and there was one maternal death. There were four live births, two early neonatal deaths and four cases of lithopedion. The placenta was removed in 11 cases. Though the duration of hospital stay was longer in women in whom the placenta was left in situ compared to those in whom the placenta was removed, the observed difference was, however, not statistically significant (p value, 0.538). The majority of the women were lost to follow-up over the years; however, of the five women successfully followed up, only two (40%) had subsequent childbirth. Conclusion: The rate of 50% missed diagnosis in this study highlights the need for a high index of suspicion in the diagnosis of abdominal pregnancies as the clinical features are varied. It calls for vigilance on the part of the obstetrician. The maternal and fetal outcomes relate to early diagnosis and skilled management. Springer-Verlag, 2009 Advanced abdominal pregnancy nationallicence Nigeria nationallicence Presentation nationallicence Diagnosis nationallicence Outcome nationallicence Sunday-Adeoye Ileogben Department of Obstetrics and Gynaecology, Ebonyi State University Teaching Hospital, Abakaliki, Nigeria aut Twomey Deirdre Mater Misericordiae Hospital, Afikpo, Ebonyi, Nigeria aut Egwuatu Emeka Department of Obstetrics and Gynaecology, Ebonyi State University Teaching Hospital, Abakaliki, Nigeria aut Okonta Patrick Department of Obstetrics and Gynaecology, Delta State University, Abraka, Delta, Nigeria aut Archives of Gynecology and Obstetrics Springer-Verlag 283/1(2011-01-01), 19-24 0932-0067 283:1<19 2011 283 404 https://doi.org/10.1007/s00404-009-1260-4 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-009-1260-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Sunday-Adeoye Ileogben Department of Obstetrics and Gynaecology, Ebonyi State University Teaching Hospital, Abakaliki, Nigeria aut NATIONALLICENCE 700 1- Twomey Deirdre Mater Misericordiae Hospital, Afikpo, Ebonyi, Nigeria aut NATIONALLICENCE 700 1- Egwuatu Emeka Department of Obstetrics and Gynaecology, Ebonyi State University Teaching Hospital, Abakaliki, Nigeria aut NATIONALLICENCE 700 1- Okonta Patrick Department of Obstetrics and Gynaecology, Delta State University, Abraka, Delta, Nigeria aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283/1(2011-01-01), 19-24 0932-0067 283:1<19 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer