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Abstract Ectopic pregnancy remains a major problem in contemporary GYnaecology. It was found that 7-10% of mate¬rnal deaths are due to ectopic pregnancy. Not only do women still die from this disease, but also about 50% of women are able to achieve a normal uterine pregnancy afterward, and at least one out of ten will have a second ectopic pregnancy. The incidence of ectopic pregnancy bas roughJ.y doubled in most parts of the Western World since the mid 1960s, and a significant and continuous rise has seen in the last decade. In West Indies an incide of 1 to 28 pregnancies was recorded. This surge the increased incidence of pelvic inflammat¬-disease that damage tubal mucosa but not so sever- as to cause complete occlusion, wide spread use of I.U.D. that prevents intrauterine but not extrauterine pregnancies, progestins only contraceptive pills, post coital oestrogen, tubal sterilization, induced abortion, induction of ovulation with human pituitary and chorionic gonadotropines and better and earlier diagnostic techniques. |