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Category: Volume 07 Issue 06 June 2019
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Title: A one year study of Ectopic Pregnancy in a Tertiary Care Centre

Authors: Dr Rama Garg, Dr Sangeeta Rani, Dr Satinder Pal Kaur

 DOI: https://dx.doi.org/10.18535/jmscr/v7i6.139

Abstract

Background: Ectopic pregnancy is an obstetric emergency with high morbidity and mortality. The incidence of ectopic pregnancy is on a rise globally. The early diagnosis increases the chances of success of medical treatment and minimizes morbidity, mortality and financial burden of the patient.

Methods: This is a prospective observational study conducted in the Department of Obstetrics and Gynaecology, Government Medical College Patiala. All women who presented to our hospital from 1st July 2016 to 30th June 2017 and diagnosed with ectopic pregnancy, were analysed from the available hospital records. A detailed analysis of age, parity, period of amenorrhea, presenting complaints, high risk factors, mode of management and any blood transfusions required, was carried out.

Results: Majority  of the patients (45.3%) belonged to the age group of 25-30 years in our study.54.8% were multiparas.84.4% had amenorrhea less than 7weeks at the time of admission

The commonest presenting complaints were abdominal pain, amenorrhea and abnormal vaginal bleeding The common risk factors were tubectomy, H/O abortion, previous ectopic pregnancies and previous LSCS.

79.68% (51/64) had laparotomy. Out of 51 patients, 44 had tubal rupture 3 had chronic ectopic and 4 had unruptured ectopic >4cm.20.31% (13/64) of cases were successfully managed medically with methotrexate therapy. 31(48.43%) patients required blood transfusion.

Conclusions: Surgical treatment was done more often because of patients reporting late to the hospital. Screening of high risk cases, early diagnosis and early intervention reduces the morbidity and mortality in ectopic pregnancies.

Keywords: Ectopic Pregnancy, transvaginal USG, methotrexate therapy.

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Corresponding Author

Dr Sangeeta Rani

Assistant Professor, Deptt. of Obs. & Gynae. GMC, Patiala, India