Abstract
Introduction: Ectopic pregnancy is the most common cause of maternal morbidity during first trimester of pregnancy. This study is done to analyse various management, clinical parameters and morbidity associated with ectopic pregnancy.
Aim: To study the incidence, clinical trends, management aspect, morbidity and mortality profile of ectopic pregnancy in a tertiary care hospital.
Materials and methods: Retrospective study conducted in women diagnosed as ectopic pregnancy over a period of 18 months. Total of 64 cases during this time period were included. Data were collected from case sheets in medical records department. All the parameters were tabulated and analysed.
Results: The peak age of incidence is 26 to 30 years. Ectopic pregnancy is found to be more common in multigravida. The most common gestational age at presentation is 6-8 weeks. Risk factors are associated with (26 cases) 40.62% of cases. Most common symptom being amenorrhoea. The commonest site is right tubal ectopic pregnancy. The most common morbidity being anaemia. Most common surgery done is partial salpingectomy (48 cases). The success rate of medical management is 88.88%.There is no mortality.
Conclusions: Early diagnosis of ectopic pregnancy decreases the morbidity. Proper evaluation of cases with high risk factors during early pregnancy itself will help in early diagnosis which in turn favours successful medical management and decreases in morbidity as well as preservation of fertility.
Keywords: Ectopic pregnancy, salpingectomy, tubal pregnancy, UPT, USG pelvis.
References
1. Shetty S, Shetty A. A clinical study of ectopic pregnancies in a tertiary care hospital of Mangalore, India. Innov J Med Health Sci 2014; 4:305-9.
2. Malathi tinternational journal of scientific research volume: 4 | issue: 6 | june 2015
3. Wakankar R, Kedar K. Ectopic Pregnancy-rising Trend at Indira Gandhi Government Medical College, Nagpur. Int J Sci Stud 2015;3(5):18-22.
4. Khaleeque F, Siddiqui RI, Jafarey SN. Ectopic pregnancies: A three year study. J Pak Med Assoc 2001;51:240-3.
5. Singh S, Mahendra G, Vijayalakshmi S, Pukale RS. Clinical study of ectopic pregnancy in a rural setup: A two year survey. Natl J Med Res2014;4:37-9.
6. Yakasai IA, Abdullahi J, Abubakar IS. Management of ectopic pregnancy in Aminu Kano teaching hospital Kano Nigeria: A 3-year. Glob Adv Res J Med Med Sci 2012;1:181-5
7. Udigwe GO, Umeononihu OS, Mbachu II. Ectopic pregnancy: A 5 year review of cases at Nnamdi Azikiwe university teaching Hospital (NAUTH) Nnewi. Niger Med J 2010;51:160-3.
8. Prasanna B, Jhansi CB, Swathi K, Shaik MV. A study on risk factors and clinical presentation of ectopic pregnancy in women attending a tertiary care centre. IAIM, 2016; 3(1): 90-96.
9. Samiya M, Shagufta R, Samina M, Reyaz A R, Wasiqa K. Ectopic pregnancy: An analysis of 114 cases. JK-Practitioner, 2012; 17(4): 20-23.
10. Panchal D, Vaishnav G, Solanki K. Study of Management in Patient with Ectopic Pregnancy. National Journal of Integrated Research in Medicine, 2011; 2(3): 91-94.
11. Gupta R, Porwal S, Swarnkar M, Sharma N, Maheshwari P. Incidence, trends and risk factors for Ectopic Pregnancies in a tertiary care hospital of Rajasthan. J Pharm Biomed Sci., 2012; 16(07): 1-3.
12. Dutta D.C. Textbook of Obstetrics. 7th edition. Jaypee Medical Publishers; 2013. Chapter 15, Hemorrhage in early pregnancy; p. 177-189
13. Shabab U, Hashmi HA. Different pattern of presentation of ectopic pregnancy and its management. Journal of Surgery Pakistan (International), 2013; 18: 1.
DOI: https://dx.doi.org/10.18535/jmscr/v4i11.44
