Skip to main content Accessibility help
×
Hostname: page-component-848d4c4894-ndmmz Total loading time: 0 Render date: 2024-05-21T02:27:42.875Z Has data issue: false hasContentIssue false

2 - Epidemiology and aetiology of miscarriage and ectopic pregnancy

Published online by Cambridge University Press:  05 July 2014

Cecilia Bottomley
Affiliation:
Chelsea and Westminster NHS Foundation Trust
Davor Jurkovic
Affiliation:
University College London
Roy Farquharson
Affiliation:
University of Liverpool
Get access

Summary

Introduction

Miscarriage is the most common complication of pregnancy. It rarely causes serious health problems, but it can adversely affect women's social and psychological wellbeing. Ectopic pregnancy is less common than miscarriage, but it remains the leading cause of first-trimester maternal mortality and is associated with significant physical and psychosocial morbidity.

According to the Seventh Report on Confidential Enquiries into Maternal Deaths in the United Kingdom, there are around 1000 000 pregnancies per year in the UK, with approximately 700 000 deliveries occurring each year. It is estimated that the number of miscarriages per year is at least 200 000 and the number of ectopic pregnancies at least 10 000. The maternal mortality rate in relation to early pregnancy complications in the UK in the 3 years between 2003 and 2005 was 0.47/100 000 maternities for ectopic pregnancy (a total of ten deaths) and 0.05/100 000 maternities for miscarriage (one recorded death). Thus, despite a relatively low mortality rate, the overall impact of these disorders on women's health is significant.

Miscarriage is conventionally quoted to affect one in five pregnancies and ectopic pregnancy to occur in 1/100 gestations; however, establishing the true rate of these early pregnancy complications is challenging owing to the lack of accurate data. Hospital statistics provide information regarding the rate of miscarriage and ectopic pregnancy resulting in hospital admissions. However, the majority of women diagnosed with miscarriage are nowadays managed without admission to hospital.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×