{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:05:27Z","timestamp":1777907127029,"version":"3.51.4"},"reference-count":11,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2017,3,26]],"date-time":"2017-03-26T00:00:00Z","timestamp":1490486400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All the patients had prompt life-saving surgery within 48\u2009h of admission despite the challenges faced. The survival rate was 100% during the period of the study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>It is possible to prevent maternal mortality in low-resource countries by maintaining basic clinical and surgical skills.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0049475517700810","type":"journal-article","created":{"date-parts":[[2017,3,27]],"date-time":"2017-03-27T02:34:42Z","timestamp":1490582082000},"page":"316-320","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Challenges in the surgical management of ectopic pregnancy in a low-resource setting: Mpilo Central Hospital, Bulawayo, Zimbabwe"],"prefix":"10.1177","volume":"47","author":[{"given":"Solwayo","family":"Ngwenya","sequence":"first","affiliation":[{"name":"Consultant Obstetrician & Gynaecologist, Head of Department of Obstetrics & Gynaecology, Clinical Director, Mpilo Central Hospital, Mzilikazi, Zimbabwe"},{"name":"Part-Lecturer, National University of Science & Technology, Medical School, Mzilikazi, Zimbabwe"},{"name":"Founder and Chief Executive Officer, Royal Women\u2019s Clinic, Bulawayo, Matabeleland, Zimbabwe"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,3,26]]},"reference":[{"key":"bibr1-0049475517700810","first-page":"34","volume":"90","author":"Barash JH","year":"2014","journal-title":"Am Fam Physician"},{"key":"bibr2-0049475517700810","first-page":"1406","volume":"2015","author":"Kumar V","year":"2015","journal-title":"BMJ Clin Evid"},{"key":"bibr3-0049475517700810","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2014-006447"},{"key":"bibr4-0049475517700810","first-page":"90","volume":"131","author":"Makinin J","year":"2015","journal-title":"Duodecim"},{"key":"bibr5-0049475517700810","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmv032"},{"key":"bibr6-0049475517700810","doi-asserted-by":"publisher","DOI":"10.1007\/s13224-014-0529-0"},{"key":"bibr7-0049475517700810","doi-asserted-by":"publisher","DOI":"10.1016\/j.tjog.2014.01.004"},{"key":"bibr8-0049475517700810","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12772"},{"key":"bibr9-0049475517700810","doi-asserted-by":"crossref","unstructured":"Demirdag E, Guler I, Abay S, et\u00a0al. The impact of expectant, systemic methotrexate and surgery on subsequent pregnancy outcomes in tubal ectopic pregnancy.\n                      Ir J Med Sci\n                      2017; 186: 387\u2013392.","DOI":"10.1007\/s11845-016-1419-5"},{"key":"bibr10-0049475517700810","doi-asserted-by":"publisher","DOI":"10.3109\/01443615.2015.1133578"},{"key":"bibr11-0049475517700810","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2014-007339"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475517700810","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0049475517700810","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475517700810","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:30:26Z","timestamp":1777642226000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0049475517700810"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3,26]]},"references-count":11,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2017,10]]}},"alternative-id":["10.1177\/0049475517700810"],"URL":"https:\/\/doi.org\/10.1177\/0049475517700810","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3,26]]}}}