Gynecological history, contraceptive use and the risk of ectopic pregnancy: An Indonesian case-control study

Bastaman Basuki
2000 Medical Journal of Indonesia  
Abstrak Makntah ini merupakan gabungan 4 publikasi hasil penelitian kasus-kantol risil 3 95Vo interval kepercayaan éD = t S-qiO). Sidangl@n jika kasus dibandingkan dengan wanita hamil, mala KET terdahulu, abortus, kemungkinan KET. Abstract This paper is based onfour publications on a populntion-based case-contol study in I I cities in Indonesia in 1989/1990 to assess the rtsk of ectopic pregnancy (EP) associated with gyneco confrmed. Each case was matched by one pregna pre7nant controls,
more » ... nt controls, current I(JD use decreased the p IUD use for > 3 years increased the probabilities [adjusted odds ra with pregrni controls, history of pr)vious EP, indrcid abortion, miscarriage, pelvic inflanwatory disease, smoking habit, anà cunent IUD ur" jo, i y"o^ o, *o* in r"i"eâ 715k of ectopic nidation. The strongest riskfactor was previous EP (adjusted OR = 16.8: 95Io CI: 2' I-132'5) amàng past contraceptive users. On the ecnble and n prevented ectopic nidation' Thus, it is recomiended thatfor those with identified arly diagnosis t, also a côwseling prograrn in choosing and using the most suitable contraceptive method should be provided. In Indonesia there are more than 20 million current contracepting women using IUDs, pills, injectables, implants, condoms, sterilization, and natural methods. In addition, a large number of Indonesia women are past contraceptive users @ersonal communication, Indonesian National Family planning Coordinating Board). Current and past contraceptive usen are at risk in developing EP'la Separate analysis on the population-bas^ed case-control study in Indonesia has been published.Ge The results of the identified risk factors varied if cases rtrere compared to past and current contraceptive users ofnon-pregnant controls, as well as if cases were compared to past contraceptive users, current r[JD users, and among the failures of IUD of pregnant controls. This paper is an attempt to present a comprehensive figure on the risk ,factors for tubal conception and ectopic nidation associated with gynecological history, past and current contraceptive use.
doi:10.13181/mji.v9i1.646 fatcat:udpb24mm4ndp7pion2cvbmxhjq