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Trends in ectopic pregnancy in New Zealand

, : Trends in ectopic pregnancy in New Zealand. Australian & New Zealand Journal of Obstetrics & Gynaecology 26(2): 145-148

Analysis of New Zealand's rate of ectopic pregnancy indicates a 3-fold increase from 1965 to 1983, from 4.3/1000 births to 13.6/1000 births. This trend shows no sign of levelling. The annual number of such pregnancies was 262 in 1965 and 690 in 1983. The risk of conceiving an ectopic pregnancy was greatest among older women. For the peroid 1965-83, the risk was 11.8/1000 in the 35-44-year age group compared with 5.3/1000 in the 15-24-year age group, representing a 2.2-fold increased risk. The increase in the rate of ectopic pregnancies over time has occurred within each age group, however. These findings mirror trends in Europe and North America. It has been suggested that the increased incidence of ectopic pregnancy reflects the spread of sexually transmitted disease and pelvic inflammatory disease. 8 deaths were attributable to ectopic pregnancy in the years 1969-79 in New Zealand. Given the potential mortality and reduced subsequent fertility associated with this condition, the trend toward increased ectopic pregnancy is of serious concern.

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