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DC Field | Value | Language |
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dc.contributor.author | Sahara, Shurie, | - |
dc.contributor.author | Were, Edwin | - |
dc.date.accessioned | 2021-02-11T07:43:24Z | - |
dc.date.available | 2021-02-11T07:43:24Z | - |
dc.date.issued | 2018-11 | - |
dc.identifier.uri | https://www.panafrican-med-journal.com/content/article/31/214/full/ | - |
dc.identifier.uri | http://ir.mu.ac.ke:8080/jspui/handle/123456789/4122 | - |
dc.description.abstract | Introduction: ectopic pregnancy is one of the causes of maternal morbidity and mortality in Sub-Saharan Africa. Levonorgestrel (LNG) only emergency contraceptive pill is a well-established emergency contraceptive pill that is administered within 72 hours after unprotected intercourse. This study aimed at determining whether or not there is a significant association between levonorgestrel emergency contraceptive use and the occurrence of ectopic pregnancy. Methods: case-control (1:3) study among 79 women with ectopic pregnancy (cases) matched against 237 women without (controls) at Moi Teaching and Referral Hospital in Eldoret, Kenya; Sociodemographic and clinical data were collected using a questionnaire. Association between ectopic pregnancy and LNG-EC was assessed using Pearson chi-square test. The relationship between outcome and exposure (while adjusting for confounders) was assessed using logistic regression model. Results: The mean age was 27.15 years. Both cases and controls were similar by age (p = 0.990), educational level (p = 0.850), marital status (p = 0.559), employment status (p = 0.186) and parity (p = 0.999). Seventy-eight (24.7%) participants had a history of miscarriage. A higher proportion of the cases had history of using LNG-EC compared to the controls (32.9% vs. 7.2%, p < 0.001). The use of LNG-EC portended more than nine times increased odds of ectopic pregnancy compared to other contraceptive methods {OR = 9.34 (95% CI: 3.9 - 16.0)}. Conclusion: levonorgestrel only emergency contraceptive use was associated with ectopic pregnancy. One of the limitations of this study is that we could not control for all confounders of ectopic pregnancy. | en_US |
dc.language.iso | en | en_US |
dc.publisher | Pan African Medical Journal | en_US |
dc.subject | Levonorgestrel | en_US |
dc.subject | contraceptive use | en_US |
dc.subject | pregnancy | en_US |
dc.title | Levonorgestrel only emergency contraceptive use and risk of ectopic pregnancy in Eldoret Kenya: a case-control study | en_US |
dc.type | Article | en_US |
Appears in Collections: | School of Medicine |
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