Title: A Retrospective Study on Risk Factors and Clinical Presentation of Ectopic Pregnancy
Authors: P. Sujata, Janmejaya Sahoo, Jagadish Hansa, Gangadhar Sahoo
DOI: https://dx.doi.org/10.18535/jmscr/v5i1.122
Abstract
Introduction: The objectives are to study the incidence, clinical presentations and risk factors of all cases of ectopic pregnancy that presented to our centre over a period of five years.
Method: A retrospective study was done on all cases of ectopic pregnancies who were admitted to the O&G dept. of Institute of Medical Sciences and SUM Hospital, under Siksha ‘O’ Anusandhan University, Bhubaneswar from January 2009 to December 2013. Information was obtained from the case notes, theatre and labour ward registers.
Results and Discussion: A total of 200 cases of ectopic pregnancy were diagnosed. The total no. of deliveries which took place during the study periods were 6084. The incidence of ectopic pregnancy in the present study was 3.2%. Risk factors were present in 35% of cases. Majority of the cases were ampullary pregnancies (66.5%). Ectopic pregnancy presented with diverse symptoms. Majority of the cases (39%) presented with pain abdomen. Abdominal pain is due to peritoneal irritation as most of the cases had rupture ectopics at the time of presentation. Death occurred in 3 cases which were mainly due to delay in referral.
Conclusion: The incidence of ectopic pregnancy in our centre was 3.2%. The most common identifiable risk factor was PID.
Keywords: PID, Ampulla, infertility, abortion, ectopic.
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