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Category: Volume 07 Issue 02 February 2019
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Title: Study of Incidence and Outcomes of Ectopic Pregnancy:  A Retrospective Study in a Tertiary Care Centre at Muzaffarpur, Bihar

Authors: Amrita Pritam­­­­­­­­, Pallawi Singh, Abha Sinha, Sanjeev Kumar

 DOI: https://dx.doi.org/10.18535/jmscr/v7i2.109

Abstract

Objective: pregnancy beyond the uterine cavity is known as ectopic pregnancy and is a major cause of maternal morbidity and mortality. Dealing with ectopic pregnancy is always a challenge in clinical practice of obstetrics. With greater awareness in high-risk cases and better screening procedures, life threatening ectopic pregnancy can be prevented. This study was conducted to calculate incidence of ectopic pregnancy, to study the associated demographic factors and to analyze the various aspects of ectopic pregnancy in our hospital.

Materials and Methods: A retrospective study was carried out to calculate the incidence, to study the associated demographic factors and outcomes of ectopic pregnancy. The study was done in Department of Obstetrics & Gynecology at S. K. Medical College, Muzaffarpur, Bihar for study period of one year from January 2017 to December 2017. Data regarding cases of ectopic pregnancy was collected, analyzed and interpreted. 

Results: In our study, for the period from January 2017 to December 2017, total of 9,027 deliveries were conducted. Total 47 cases were diagnosed as ectopic pregnancy. The incidence of ectopic pregnancy in our study is 1.56 in 300 deliveries. Most of the cases were in the age group of 20-30 years (63.83%). 29.78% cases had history of PID. Among various modalities of surgical management, salpingectomy was done in total of 59.57 % cases of ectopic pregnancies.

Conclusion: Early detection of high risk pregnancies can save a lot of maternal lives. Women with previous ectopic pregnancy preventive measure can be taken in future pregnancies. Emergency management system should be sound and available round the clock at every level of health care delivery system.

Keywords: Ectopic pregnancy, Salpingectomy, PID, ART.

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Corresponding Author

Amrita Pritam

Senior Resident, Dept of Obs & Gynae, Sri Krishna Medical College & Hospital, Muzaffarpur, Bihar