Abstract
Objective: In this study our main goal is to identify risk factor of ectopic pregnancy in rural women Bangladesh.
Method: This descriptive study was performed from May 2016 to April, 2017 at Ad-din Akij Medical College Hospital, Khulna. During the study 200 patients were evaluated and data was extracted from socio-demographic, menstrual, obstetric and clinical history of the patients.
Results: Most of the patients belong to 30 years (19.7%) age group and history of pelvic infection (26.26%), induced abortion (17.4%), previous MR (16.26%) and sub fertility (11.25%) were common risk factor in ectopic pregnancy found in the study. Also majority of the patients faced laparotomy followed by right sided salphingectomy (40.40%) which was the most common operation.
Conclusion: quick diagnosis, classifying of risk factors and timely intervention in the form of surgical treatment is necessary for reduction mortality rate in ectopic pregnancy.
Keywords: Ectopic pregnancy, laparotomy, Pelvic infection.
References
- Yeasmin MS, Uddin MJ, Hasan E. A clinical study of ectopic pregnancies in a tertiary care hospital of Chittagong, Bangladesh. ChattagramMaa-O-Shishu Hospital Medical College Journal. 2014 Nov 28; 13(3):1-4.
- Qyasian A, Mohammadi Z, Giardino L, Palazzi F, Shalavi S, Sabbaghi S, Khoshbin E. rkuma Joseph. A., Egesie Julie. O, Banwat Edmund. B., Ejele Adebayo. O. Nigerian Journal of Medicine. 2014 Jul; 23(3).
- Lalchandani S, Geary M, O’Herlihy C, Sheil O. Conservative management of placenta accreta and unruptured interstitial cornual pregnancy using methotrexate. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2003 Mar 26;107(1):96-7.
- Murray H, Baakdah H, Bardell T, Tulandi T. Diagnosis and treatment of ectopic pregnancy. Cmaj. 2005 Oct 11;173(8): 905-12.
- Goldner TE, Lawson HW, Xia Z, Atrash HK. Surveillance for ectopic pregnancy—United States, 1970–1989. MORBIDITY AND MORTALITY WEEKLY REPORT: CDC Surveillance Summaries. 1993 Dec 17:73-85.
- Jurkovic D, Wilkinson H. Diagnosis and management of ectopic pregnancy. BMJ. 2011 Jun 10; 342:d3397.
- Grudzinskas JG. Miscarriage, ectopic pregnancy and trophoblastic disease. Dewhurst’s textbook of obstetrics and gynaecology for postgraduate. London: Blackwell. 1999 Dec 23:61-76.
- Sivalingam VN, Duncan WC, Kirk E, Shephard LA, Horne AW. Diagnosis and management of ectopic pregnancy. J Fam PlannReprod Health Care. 2011 Oct 1;37(4):231-40.
- Vyas PS & Vaidya P, “Epidemiology, Diagnosis and Management of Ectopic pregnancy” Research Articles 1998; 1-11.
- Ectopic pregnancy: Learn more on Ectopic symptoms and treatment, http://w.w.w. Women’s-health, co.UK/ectopic, asp. 2007:1-6.
- Medical Encyclopedia: “Ectopic Pregnancy”, http:// w.w.w. n/m.nih.Gov/medline plus/print/ency/ article/ 000895. htm 2007; 1-3.
- Rather, Gousia Rahim, Yudhvir Gupta, and Subash Bardhwaj. "Patterns of lesions in hysterectomy specimens: a prospective study." JK science 15, no. 2 (2013): 63.
- Nahar K, Talukder T, Sultana S, Hossain MA. Study on Risk Factors, Clinical Presentation & Operative Management of Ectopic Pregnancy. Bangladesh Journal of Obstetrics &Gynaecology. 2013;28(1):9-14.
- Milunsky A, Milunsky JM. Genetic counseling: preconception, prenatal, and perinatal. Genetic Disorders and the Fetus: Diagnosis, Prevention and Treatment. JHU Press: Baltimore, MD. 2004:1-65.
- Stulberg DB, Zhang JX, Lindau ST. Socioeconomic disparities in ectopic pregnancy: predictors of adverse outcomes from Illinois hospital-based care, 2000–2006. Maternal and child health journal. 2011 Feb 1;15(2):234-41.
- Bouyer J, Coste J, Shojaei T, Pouly JL, Fernandez H, Gerbaud L, Job-Spira N. Risk factors for ectopic pregnancy: a comprehensive analysis based on a large case-control, population-based study in France. American Journal of Epidemiology. 2003 Feb 1;157(3):185-94.
- Garrett AM, Vukov LF. Risk factors for ectopic pregnancy in a rural population. Family medicine. 1996 Feb;28(2):111-3.
- Al-Daheen G. Ectopic pregnancy, A Prospective Study In Al-Batool Teaching Hospital In Mosul–Iraq. Al-Kindy College Medical Journal. 2007;4(1):63-9.
- Marchbanks, Polly A., John F. Annegers, Carolyn B. Coulam, Janette H. Strathy, and Leonard T. Kurland. "Risk factors for ectopic pregnancy: a population-based study." Jama259, no. 12 (1988): 1823-1827.
- Al-Daheen G. Ectopic pregnancy, A Prospective Study In Al-Batool Teaching Hospital In Mosul–Iraq. Al-Kindy College Medical Journal. 2007;4(1):63-9.
- Hanna WA, Myles TJ. Spontaneous intraperitoneal haemorrhage during pregnancy: report of three cases. British medical journal. 1964 Apr 18;1(5389):1024.
- Schneider J, Berger CJ, Cattell CR. Maternal mortality due to ectopic pregnancy. A review of 102 deaths. Obstetrics and gynecology. 1977 May;49(5):557-61.
Corresponding Author
Dr Rowshon Ara Khatun, DGO
Assistant Prof. of Gynae & Obs. Ad-din Akij Medical College Hospital, Khulna, Bangladesh