Challenges in the surgical management of ectopic pregnancy in a low-resource setting: Mpilo Central Hospital,Bulawayo,Zimbabwe

Abstract

Background

Ectopic pregnancy contributes to maternal morbidity and mortality, especially in low-resourced countries with limited facilities for early diagnosis and treatment. It is a very challenging condition to diagnose. Patients may collapse and die while undergoing investigation.

Aims

To assess surgical treatment given to patients presenting at Mpilo Central Hospital, the challenges that are faced and the outcomes; and also to document how women survive this dangerous condition in a setting challenged by low resources.

Results

All the patients had prompt life-saving surgery within 48 h of admission despite the challenges faced. The survival rate was 100% during the period of the study.

Conclusion

It is possible to prevent maternal mortality in low-resource countries by maintaining basic clinical and surgical skills.