PREVALENCE OF SALPINGITIS IN TUBAL ECTOPIC PREGNANCIES DIAGNOSED AT A TERTIARY HOSPITAL IN CENTRAL SOUTH AFRICA

Background: Salpingitis is the inflammation of the fallopian tubes with consequences such as tubal occlusion, infertility, tubal ectopic pregnancies and chronic pelvic pain. This study was conducted to determine the prevalence of salpingitis induced ectopic pregnancies in females who have undergone salpingectomy and their specimen sent for anatomical pathology analysis. Methods: Ninety four specimens were collected from 01st February to 31stDecember 2006. The specimens were observed under a multi-head microscope for tubal patency and plasma cell infiltration, which were used to classify salpingitis as mild, moderate or severe. The results indicated 53%, 10% and 2% for mild, moderate and severe salpingitis, respectively. The prevalence rate of salpingitis was determined at 65%. This prevalence rate is very significant and shows that salpingitis is a major cause of tubal ectopic pregnancy in our setting. Conclusion: Salpingitis mainly affects women in their reproductive years, and this may lead to a health crisis. Contribution: Women and child healthcare form the cornerstone of social justice in any society. Radical measures should be employed at primary health care level to deal with sexually transmitted infections, and to educate young women and men on safe sexual practices.