Advanced abdominal pregnancy: a study of 13 consecutive cases seen in 1993 and 1994 at Komfo Anokye Teaching Hospital, Kumasi, Ghana

Afr J Reprod Health. 2000 Apr;4(1):28-39.


Thirteen cases of advanced abdominal pregnancy (AAP) managed at the Komfo Anokye Teaching Hospital (KATH), Kumasi, Ghana, over a two-year period (1993-1994) are presented. An incidence ratio of one advanced abdominal pregnancy to 1,320 deliveries occurred during this period. The ratio of advanced abdominal pregnancy to ectopic pregnancy was 1:43.7. The perinatal mortality rate and maternal case fatality rates were 69.6% and 15.3% respectively. Recurrent abdominal pains in the gravid patient with abnormal fetal lie and prior history of tubal pregnancy and/or previous abdominal surgery were significant findings in the cases reviewed. These findings should, therefore, always prompt lucid and elaborate ultrasound examination of a pregnancy to exclude abdominal pregnancy.

MeSH terms

  • Adult
  • Female
  • Ghana / epidemiology
  • Hospital Mortality
  • Hospitals, Teaching*
  • Humans
  • Incidence
  • Infant Mortality
  • Infant, Newborn
  • Maternal Mortality
  • Pregnancy
  • Pregnancy, Abdominal / diagnostic imaging
  • Pregnancy, Abdominal / epidemiology*
  • Pregnancy, Abdominal / etiology
  • Referral and Consultation / statistics & numerical data
  • Retrospective Studies
  • Risk Factors
  • Treatment Outcome
  • Ultrasonography