Introduction:

Ectopic pregnancy is a problem in current obstetrics, although mortality due to this disease has decreased, as well as its morbidity since the existing diagnostic means allow an early diagnosis, its incidence is still increasing.

Objective:

To determine the factors related to the ectopic pregnancy.

Methods:

A descriptive-cross-sectional-retrospective study was carried out on all the patients who attended Tamara Bunke Bíder Northern Maternal Hospital in Santiago de Cuba city, operated on due to ectopic pregnancy, during twenty-five years (1991-2015). The analysis was constituted by a total of 1999 patients, with the selection criterion given by their pathologic confirmation, resulting in a total of 1866 cases. Among the variables studied, the risk factors related to this disease were considered, as well as the elements that were used for the diagnosis.

Results:

The incidence of the ectopic pregnancy in our environment is 1 out of 37 childbirths, prevailing as risk factors: the 25- 29 age group (32.3 %), nulliparity and primiparity (30,2 % and 32,5 %) respectively, the history of pelvic inflammatory disease (43.8 %), vaginal infections (24.8 %) and the use of intra-uterine device (49.8 %). Most of the cases were presented with classic symptoms of the disease, reason why the majority diagnosis on admission was right and the auxiliary methods most used were the Douglas cul-de-sac puncture (42.3 %), alone or combined with ultrasonography and laparoscopy.

Conclusions:

There was a prevalence of the risk factors described. The incidence of ectopic pregnancy is still high.

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