A clinical study on ectopic pregnancy in a tertiary care hospital over one year

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dc.contributor.authorKhandkar, Sharvari A.en_US
dc.contributor.authorModi, Rahien_US
dc.contributor.authorJain, Mahimaen_US
dc.date.accessioned2024-09-24T09:07:08Z
dc.date.available2024-09-24T09:07:08Z
dc.date.issued2024-02
dc.description.abstractBackground: 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.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, B. J. Medical College, Ahmedabad, Gujarat, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, B. J. Medical College, Ahmedabad, Gujarat, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, B. J. Medical College, Ahmedabad, Gujarat, Indiaen_US
dc.identifier.citationKhandkar 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): 386-390en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/232540
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber2en_US
dc.relation.volume13en_US
dc.source.urihttps://doi.org/10.18203/2320-1770.ijrcog20240138en_US
dc.subjectEctopic pregnancyen_US
dc.subjectHemoperitoneumen_US
dc.subjectLaparoscopyen_US
dc.subjectLaparotomyen_US
dc.subjectSalpingectomyen_US
dc.titleA clinical study on ectopic pregnancy in a tertiary care hospital over one yearen_US
dc.typeJournal Articleen_US
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