Abstract
Background: A ruptured ectopic pregnancy is a true emergency and remains the leading cause of pregnancy related first trimester deaths. The objective was to study the clinical profile of ectopic pregnancy in a tertiary care hospital.
Methods: It was a retrospective study conducted at M.N.R Medical College & Hospital, Sangareddy from 1st September 2013 to 31st August 2015. A total of 21 patients with ectopic pregnancy were analysed on clinical presentation, clinical findings, investigations, operative findings and outcome.
Results: A majority of women (66.67%) were in the age group of 25-30 years and 80.95% were multigravida. Risk factors were identifiable in 76.19% patients. Amenorrhea (90.48%) and pain abdomen (95.24%) were the most common presenting symptoms. 15 (71.43%) underwent an exploratory laparotomy, two (9.5%) women had laparoscopy and 4 (19%) women received medical management. There were no maternal deaths and post-operative morbidity in the form of febrile illness (9.52%), and wound sepsis (4.76%) was seen.
Conclusions: Ectopic pregnancy still remains one of the major causes of maternal morbidity and mortality. Early diagnosis and referral in hemodynamically stable state along with use of minimal access surgery or medical management can change the scenario of ectopic pregnancy in the developing world.
Keywords- Ectopic, Pregnancy, Amenorrhoea, Emergency, laporotomy.
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Corresponding Author
N.Spandana
Postgraduate MNR Medical College & Hospital, Sangareddy
DOI: http://dx.doi.org/10.18535/jmscr/v4i4.07
