{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T00:56:39Z","timestamp":1790470599931,"version":"4.1.0"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,8,19]],"date-time":"2019-08-19T00:00:00Z","timestamp":1566172800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate risk factors for ectopic pregnancy among pregnant women attending the Korle\u2010Bu Teaching Hospital, Accra, Ghana.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In an unmatched case\u2013control study from September to November 2015, 104 women with ectopic pregnancy (cases) were compared with 208 women with intrauterine pregnancy (controls). Data were collected by interviewer\u2010administered questionnaire and record review. Bivariable analysis was used to compare characteristics. Multivariate logistic regression was used to assess associations between risk factors and ectopic pregnancy. Adjusted odds ratios (<jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content>s) and 95% confidence interval (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>s) were reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Risk factors for ectopic pregnancy were being single (<jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content>, 5.5; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>, 2.15\u201314.65), sexual debut at younger than 15\u00a0years (<jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content>, 36.4; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>, 2.49\u2013532.49), multiple sexual partners (<jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content>, 4.8; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>, 1.76\u201313.36), previous instrumental evacuation of uterus (<jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content>, 5.8; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>, 1.20\u201327.99); previous diagnosis of infertility (<jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content>, 6.1; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>, 1.36\u201327.28), being uninsured (<jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content>, 11.8; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>, 4.23\u201332.74), and condom use (<jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content>, 6.1; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>, 1.36\u201327.28).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Women who were single with early sexual intercourse, multiple partners, instrumental evacuation of the uterus, and diagnosis of infertility were at risk of ectopic pregnancy. Identification of these factors should facilitate early diagnosis and treatment of ectopic pregnancy.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12928","type":"journal-article","created":{"date-parts":[[2019,7,25]],"date-time":"2019-07-25T16:54:48Z","timestamp":1564073688000},"page":"120-125","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Risk factors for ectopic pregnancy among pregnant women attending a tertiary healthcare facility in Accra, Ghana"],"prefix":"10.1002","volume":"147","author":[{"given":"Kwaku","family":"Asah\u2010Opoku","sequence":"first","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology School of Medicine and Dentistry College of Health Sciences University of Ghana  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel A.","family":"Oppong","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology School of Medicine and Dentistry College of Health Sciences University of Ghana  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donne K.","family":"Ameme","sequence":"additional","affiliation":[{"name":"Ghana Field Epidemiology and Laboratory Training Programme School of Public Health University of Ghana  Legon, Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mercy A.","family":"Nuamah","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; 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