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Category: Volume 05 Issue 11 November 2017
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Title: Ectopic Pregnancy: An Analysis of 32 Cases

Authors: Smita Rai, Sudha Verma

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i11.109

Abstract

Introduction: Ectopic pregnancy is one of the life threatening emergencies in first trimester of pregnancy. It is a condition where blastocyst is implanted at sites other than uterine cavity.

Material and Methods: An analysis of 32 cases of ectopic pregnancy presenting over a period of one year was done at our institution. History including significant past medical and surgical history along with examination details were noted. Treatment given in form of medical and surgical treatment with exploratory findings was recorded.

Observations and Results: The incidence of ectopic in the study was 3.805 per 1000 deliveries. Three-fourth of our patients belonged to age group 21 to 30 years. Most of the patients i.e. 62.5% were diagnosed as ruptured ectopic and 56.25% had identifiable risk factors like previous D&C for abortion, PID and infertility. The diagnosis of ectopic pregnancy was made by history and clinical examination, urine pregnancy test, USG, abdominal tap etc. as per clinical findings. Out of 32 cases only one was subjected to medical treatment, rest all were managed surgically with 35.48% patients undergoing conservative surgery.

Keywords: Ectopic Pregnancy, salpingectomy, salpingostomy.

References

  1. Centres for disease control. Ectopic Pregnancy- United States: 1988-1989. MMWR1992; 41:591.
  2. American College of Obstetricians and Gynaecologists : Medical management of ectopic pregnancy .Practice Bulletin number 94, June 2008.
  3. Anderson FWJ, Hogan JG, Ansbacher R. Sudden death: Ectopic pregnancy mort-ality. Obstet and Gynecol 103:1218,2004.
  4. Majhi AK, Roy N, Karmakar KS, Banerjee PK - Ectopic Pregnancy -an analysis of 180 cases.[J Indian Med Assoc. 2007]
  5. Westrom L, Bengtsson LPH, Mardh PA. Incidence trends and risks of ectopic pregnancy in women. Br Med J 1981; 282; 15-18.
  6. Rubin GL, Peterson HB, Dorfman SF, et al. Ectopic Pregnancy in USA 1970 through 1978. JAMA 1983; 249 :1725
  7. Priti S Vyas, P Vaidya. Epidemiology, Diagnosis and Management of Ectopic Pregnancy- An Analysis of 196 cases. BHJ Original / Research Articles  mhtml:file://E:\EPIDEMIOLOGY,DIAGNOSIS AND MANAGEMENT OF ECTOPIC PREGNANCY
  8. Ankum WM ,Mol BWJ, Vander Veen F, et al.: Risk factor for ectopic pregnancy : A metanalsysis. Fertil and Steril 65:1093, 1996
  9. Solves MR. Inf surgery in De Cherney AH (ed), Reproductive failure, NY Churchill Livingstone. 1986; 117
  10. Thornton KL, Diamond MP, DeCherney AH, et al. Linear salpingostomy for ectopic pregnancy. Obstet Gynaecol C1 N AM 1991;18 : 95-110
  11. Kooi S, Kock H CLV.Surgical treatment for tubal pregnancies. Surgical Gynaecol Obstet 1993; 176:519-26
  12. Silva PD, Schaper AM, Rooney B, et al.. Reproductive outcome after 143 lapros-copic procedures for ectopic pregnancy.  Obstet Gynaecol 1993; 81: 10-15.

Corresponding Author

Smita Rai

Dr. RMLC Hospital, Lucknow, India

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