Time trends in ectopic pregnancy over a decade--a retrospective hospital-based study.

A 10-year study to evaluate the time trends of ectopic pregnancy showed a gradual but steady rise of incidence from 1/179 to 1/108. Reproductive failure constituted the major bulk but contraceptive failure is gradually increasing. Interestingly failure of emergency contraception has emerged as another risk factor in recent years. Laparotomy is still the major modality of treatment with medical management possible in only 3.1% of cases. Laparoscopic management has been adopted from 2003 and only 20.2% of cases were managed by laparoscopy in 2006, which is much lower than that of our western counterparts.