A clinical study on ectopic pregnancy in a tertiary care hospital over one year
No Thumbnail Available
Date
2024-02
Journal Title
Journal ISSN
Volume Title
Publisher
Medip Academy
Abstract
Background: Ectopic pregnancy is a life threatening emergency in obstetrics presenting in the 1st trimester. The incidence is about 1% globally. We have aimed to study the incidence, presentation and management of ectopic pregnancy. Various risk factors were identified which may be helpful in reducing maternal mortality.Methods: A one year retrospective study involving detailed medical records of patients who underwent obstetric hysterectomy between 1st November 2022 and 31st October 2023.Results: The overall incidence of ectopic pregnancy was 0.8% in this study. The incidence was highest in 26-30 year age group (40%) followed by 21-25 year age group (36.4%). 95.2% cases presented with tubal ectopic while 2.4% each of cervical ectopic and caesarean scar ectopic pregnancies. LSCS was the most common risk factor associated with ectopic pregnancy, other risk factors included pelvic inflammatory disease in 33.3% cases, 29.5% patients with infertility treatment. 59% were ruptured ectopic pregnancies, 40% with unruptured ectopic pregnancy and 1% case of chronic ectopic. Multiple signs were seen in majority of patients including tachycardia, hypotension, abdominal tenderness, guarding and rigidity, vaginal forniceal fullness and tenderness. Management included laparotomy (58.8%), laparoscopy (31.7%), dilatation and evacuation (3.5%), medical management (3.5%) and hysterectomy (2.3%). No case of maternal mortality was noted.Conclusions: Ectopic pregnancy is still a major challenge in obstetrical practice because of its bizarre clinical presentation. Maternal outcome depends upon timely diagnosis and urgent management of such patients.
Description
Keywords
Ectopic pregnancy, Hemoperitoneum, Laparoscopy, Laparotomy, Salpingectomy
Citation
Khandkar Sharvari A., Modi Rahi, Jain Mahima. A clinical study on ectopic pregnancy in a tertiary care hospital over one year . International Journal of Reproduction, Contraception, Obstetrics and Gynecology . 2024 Feb; 13(2): 386-390