Skip Navigation


Hum. Reprod. Advance Access originally published online on July 15, 2004
Human Reproduction 2004 19(9):2014-2018; doi:10.1093/humrep/deh399
This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF ) Freely available
Right arrow All Versions of this Article:
19/9/2014    most recent
deh399v1
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (9)
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Coste, J.
Right arrow Articles by Job-Spira, N.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Coste, J.
Right arrow Articles by Job-Spira, N.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Human Reproduction vol. 19 no. 9 © European Society of Human Reproduction and Embryology 2004; all rights reserved

Ectopic pregnancy is again on the increase. Recent trends in the incidence of ectopic pregnancies in France (1992–2002)

Joël Coste1,5, Jean Bouyer1, Sylvie Ughetto2, Laurent Gerbaud2, Hervé Fernandez3, Jean-Luc Pouly4 and Nadine Job-Spira1

1 INSERM U569–IFR 69, Hôpital de Bicêtre, 94276 Le Kremlin-Bicêtre, 2 Service Épidémiologie, Prévention et Économie de la Santé, CHU Clermont-Ferrand, 3 Service de Gynéco-Obstétrique, Hôpital Antoine Béclère, Clamart and 4 Service de Gynéco-Obstétrique, CHU Clermont-Ferrand, France

5 To whom correspondence should be addressed at: Département de Biostatistique, Pavillon Saint-Jacques, Hôpital Cochin, 27, Rue du Faubourg Saint-Jacques, 75679 Paris Cedex 14, France. Tel: +33 1 58 412021; Fax: +33 1 58 411961; Email: coste{at}cochin.univ-paris5.fr

BACKGROUND: We aimed to assess the recent incidence trends of ectopic pregnancies (EP) in France (1992–2002). METHODS: A population-based register of all women aged 15–44 years with EP was set up in Auvergne (central France). We calculated rates of EP as a ‘reproductive failure’ or as a ‘contraceptive failure’, frequencies of exposure to the two main risk factors for EP (cigarette smoking and chlamydial infection) and contraceptive methods between 1992 and 2002. RESULTS: The overall EP rate decreased by 2%, from 96.4 per 100 000 women aged 15–44 in 1992 to 95.3 per 100 000 in 2002. However, the rate of ‘reproductive failure’ EP increased by 17%, while the rate of ‘contraceptive failure’ EP, mostly intrauterine device failure, decreased by 29%. CONCLUSION: Appropriate analysis reveals that the rate of EP as reproductive failure is increasing again in France. This result is of interest for many European and North America countries where chlamydial infections or smoking or both are increasing in women of reproductive age. The rates of EP as contraceptive failure and of that as reproductive failure evolve differently in the population and should not be confused in epidemiological studies.

Key words: contraception/ectopic pregnancy/epidemiology/intrauterine device/reproduction failure


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Hum ReprodHome page
I.J. Bakken and F.E. Skjeldestad
Time trends in ectopic pregnancies in a Norwegian county 1970-2004--a population-based study
Hum. Reprod., December 1, 2006; 21(12): 3132 - 3136.
[Abstract] [Full Text] [PDF]

Home page
 Obstet GynecolHome page
S. K. Van Den Eeden, J. Shan, C. Bruce, and M. Glasser
Ectopic Pregnancy Rate and Treatment Utilization in a Large Managed Care Organization
Obstet. Gynecol., May 1, 2005; 105(5): 1052 - 1057.
[Abstract] [Full Text] [PDF]


Disclaimer:
Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.