THURSDAY, Feb. 16 (HealthDay News) — An alarming increase in
ectopic pregnancy-related deaths among Florida women is likely caused by
illicit drug use and delays in seeking medical care, a U.S. report
released Thursday says.
The finding that deaths from ectopic pregnancies jumped fourfold in the
past decade in Florida points to a need for improved access to health care
and greater awareness of the importance of early pregnancy testing,
officials from the U.S. Centers for Disease Control and Prevention said in
a report published in the Feb. 17 issue of the agency’s Morbidity and
Mortality Weekly Report.
“This is the first report of an abrupt increase in ectopic pregnancy
deaths identified in the United States in recent times,” the CDC
researchers said in the report.
Ectopic pregnancy is a life-threatening condition that occurs when an
egg is fertilized outside of the uterus, usually in the fallopian tube. If
undetected, the mother-to-be may die from hemorrhage due to tubal
rupture.
From 1999 to 2008, Florida‘s death rate from ectopic pregnancy was
similar to the national rate — 0.6 deaths per 100,000 live births — but
it jumped dramatically in recent years to 2.5 per 100,000 births in
2009-2010. While 13 ectopic-related deaths were reported in Florida in the
decade 1999 to 2008, nearly that number — 11 — were reported in just
2009-2010, the agency said. During that time, the proportion of deaths
caused by ectopic pregnancies soared from 3.5 percent of all
pregnancy-related deaths to 10.8 percent, the report noted.
Compared to the earlier period, the women who died from tubal pregnancy
in 2009-2010 were more likely to be single, white or Hispanic, lack health
insurance and have less than a high school education, the report
found.
Officials said the women who died during 2009-2010 were more likely to
have collapsed from hemorrhage before seeing a health care provider than
the women who died during 1999-2008. And several women tested positive
for illicit drug use, including cocaine.
Nationwide, between 1 percent and 2 percent of pregnancies are ectopic,
but these abnormal pregnancies account for between 3 percent and 4 percent
of pregnancy-related deaths. However, the death rate from ectopic
pregnancies steadily declined nationally in the late 20th century through
2007, the latest year for which figures are available.
The study has several limitations, the researchers stressed. Full
medical information was not available for the deceased women, and drug
testing was not routine during much of the earlier period.
Efforts to educate women on the dangers of drug use before and during
pregnancy are essential, the CDC researchers added.
More information
There’s more on ectopic pregnancy at the U.S. National Library of Medicine.
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