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November 2020 -
Volume 18, Issue 11

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From the Editor

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Original Contribution

Perceptions of Patient Safety Culture among Physicians and Nurses in a Tertiary Hospital in Southwestern Saudi Arabia
[Abstract]
[pdf]
Abdullah A. Alsabaani
DOI: 10.5742/MEWFM.2020.93884

Awareness, Knowledge and Practice of Adult Saudi Females about Cervical Cancer Screening, in Aseer Region, Saudi Arabia
[Abstract]
[pdf]
Mehad H. Al-Qasem, Osma Badar, Anwar M. Abokathiyah
DOI: 10.5742/MEWFM.2020.93885

Public awareness and attitude of the population of Al-Madinah Al-Munawwarah regarding the effects of sunlight and food on vitamin D homeostasis: A cross-sectional study
[Abstract]
[pdf]
Sultan S. Al Thagfan, Saleh A. Bahashwan, Ahmed M. AlJohani, Mohammed W. Azuny,
Eyad A. Domlo, Mohammad Y. Manqu, Salem S. Alhubayshi, Khaled Faisal Alhejail,
Salah M. El Sayed
DOI: 10.5742/MEWFM.2020.93886

Appendectomy as a risk factor for ectopic pregnancy in Taif city
[Abstract]
[pdf]
FarZana R. Arain, Lura A. Habib, Hadeel A. Alharthi, Tasneem H. Elsayed, Dhuha A. Alhumaidi, Lujain A. AlHarthi, Mai S. Althobaiti
DOI: 10.5742/MEWFM.2020.93887

Epidemiology of Hepatitis B in Salahaldeen
[Abstract]
[pdf]
Layla A. Hameed, Sarab Kahtan Abedalrahman, Marwah Imad Al Ameen
DOI: 10.5742/MEWFM.2020.93888

Attitude and Awareness Toward Heart Attack Symptoms and Lifesaving Actions Among Population of Western Region, KSA
[Abstract]
[pdf]
Ali M. Alabdali, Hessa A. Alshahrani, Athar I. Alqurashi, Maryam A. Alzaylaee, Rawan A. Althobaiti, Thekra I. Alsalmi
DOI: 10.5742/MEWFM.2020.93890

Risk Factors of Cervical Epithelial Cell Abnormality in Baghdad
[Abstract]
[pdf]
Asan Ali Qasim Al Niyazee, Ilham Majeed Abdulaaima, Luma Abdulrazzaq Mohammed Saleh, Sarab Kahtan Abedalrahman
DOI: 10.5742/MEWFM.2020.93889

Population and Community Studies

Patterns of Contact Lenses Use among female Students at Health Colleges of King Khalid University at Abha, KSA
[Abstract]
[pdf]
Safar Abadi Alsaleem, Dina Abdullah S. Asiri, Shatha Mahdi A alamry, Amani Hashem AbuHassan, Nouf Saad S Al-Shahrani, Norah Saad Alkahtani, Mohammed Abadi Alsaleem,
Awad S. Alsamghan
DOI: 10.5742/MEWFM.2020.93891

Factors associated with failure of exclusive breastfeeding among mothers of twins in Saudi Arabia
[Abstract]
[pdf]
Malak Mohammad Allihaibi
DOI: 10.5742/MEWFM.2020.93892

Monogenic diabetes: importance of genetic testing
[Abstract]
[pdf]
Rubena Ali Malik, Sabana Shaikh
DOI: 10.5742/MEWFM.2020.93893

Clinical Audit Report as preliminary step for Quality Improvement Project on Prescribing Proton Pump Inhibitors for appropriate indications in West Bay Health Center
[Abstract]
[pdf]
Samar Soliman, Mohamed Salem, Eman Mohamed, Sharief Khan, Abdul-Ali Shah, Wafaa Yousuf
DOI: 10.5742/MEWFM.2020.93894

Prevalence and association between sleep, stress, and physical activity among medical students in southern region, Saudi Arabia
[Abstract]
[pdf]
Shehata Farag Shehata, Mohammed Saad Alshahrani, Mohammed Saad Aldarami, Faisal Ali Asiri, Hashem Abdullah Alghamdi
DOI: 10.5742/MEWFM.2020.93895

Prevalence of fibromyalgia syndrome in chronic urticaria
[Abstract]
[pdf]
Abdulsatar J. Mathkhor, Jinan Q. Mohammed
DOI: 10.5742/MEWFM.2020.93897

Virtual Pain Management Clinic during COVID-19 pandemic: Experience from Qatar
[Abstract]
[pdf]
Khalid Ahmed, Hani Abdalla, Siddig Abdalla, Mouhand FM Mohamed, Yasir Hassan
DOI: 10.5742/MEWFM.2020.93898

Clinical Research and Methods

Telemedicine difficulties for Family Physicians in dermatological cases
[Abstract]
[pdf]
Zeeshan Najam Khan
DOI: 10.5742/MEWFM.2020.93899

Case Report

Early Diagnosis of an Ectopic Pregnancy in patient with Irregular Menstrual Bleeding
[Abstract]
[pdf]
Samar Soliman, Mohammed Salem
DOI: 10.5742/MEWFM.2020.93900



Middle East Quality Improvement Program
(MEQUIP QI&CPD)

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email
: lesleypocock@mediworld.com.au
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Editorial Enquiries -
abyad@cyberia.net.lb
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The contents of this journal are copyright. Apart from any fair dealing for purposes of private study, research, criticism or review, as permitted under the Australian Copyright Act, no part of this program may be reproduced without the permission of the publisher.

November 2020 - Volume 18, Issue 11

Appendectomy as a risk factor for ectopic pregnancy in
Taif city

Corresponding author:
Dr. Lura A. Habib
Medical student, Medical College, Taif University, Saudi Arabia.
tel.:0559242070
Email: Lauraahmad55@gmail.com

Received: September 2020; Accepted:October 2020; Published: November 1, 2020. Citation: FarZana R. Arain et al. Appendectomy as a risk factor for ectopic pregnancy in Taif city. World Family Medicine. 2020; 18(10): 31-36 DOI: 10.5742/MEWFM.2020.93887

Abstract

Background: Ectopic pregnancy (EP) is a common obstetric emergency, with high pregnancy related mortality in the first trimester. A major risk factor for EP is surgical procedure that may cause tubal damage and scarring. One of the most common surgery is appendectomy that may lead to adhesions and consequently an EP.

Objective: to assess the association and evidence supporting the relationship between appendectomy and EP.

Methods: An online cross-sectional case-control study was conducted among cases of women diagnosed with EP, and controls of women who had a normal pregnancy in Taif city in the period from October 2018 to October 2019. A checklist was used that included items on the participants’ age, nationality, family history of EP, IUD use, pelvic intervention, pelvic inflammatory diseases, and STDs. For study cases, items about the period between appendectomy and EP, the week of diagnosis of EP and whether treated for EP with medication or surgery were added.

Results: The mean age of the participants was (36.71 ±11.49) years; 11.9% had a family history of EP, 77.3% used intrauterine devices, 13.9% had a previous history of a pelvic intervention, 9.9% had a past history of pelvic inflammatory diseases, 7.9% had a history of STDs, and 22.8% had a history of appendectomy. Cases had a significant higher percentage of those who suffered pelvic inflammatory disease and those who had a history of appendectomy, compared to controls. Binary logistic regression found that having a history of pelvic inflammatory diseases and a history of appendectomy were independent predictors for having EP.

Conclusion: This study calls for taking a careful history from all pregnant women to assess any risk factors of ectopic pregnancy and to provide proper management to all health problems that may be considered a risk factor of EP.

Key words: Appendectomy, risk, factor, ectopic, pregnancy, Taif







 


 

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