A prospective study of morbidity patterns in ectopic pregnancy at a tertiary care hospital
Journal Title: Obs Gyne Review: Journal of Obstetric and Gynecology - Year 2016, Vol 2, Issue 3
Abstract
Introduction: Ectopic pregnancy is potentially life-threatening and remains the leading cause of maternal death. The incidence of ectopic pregnancy is increased during last few years all over the world. Objective: To study the mortality and morbidity of Ectopic Pregnancy at a Tertiary Care Hospital. Methods: This prospective study conducted in the Department of Obstetrics & Gynaecology of Vinayaka Mission's Medical College, Karaikal, Puducherry for a period of 2 years. 70 cases of ectopic pregnancy were diagnosed and recruited for the study. TVS / TAS was done to diagnose and also to ascertain the severity of the condition. Apart from routine surgical profile, β-hCG assay was also performed. Results: Out of 70 patients, 62(88.5%) patients were managed by laparotomy, 7 (10%) patients were by laparoscopically, one patient (1.4%) was successfully managed by medical therapy. The most common site for ectopic was found in ampulla in 52(74%) patients, followed by isthmus 6(8.24%), ovary 5 (7.14%), interstitial 1 (1.4%), cornua 2(2.28%), fimbria 2 (2. 28%) and infundibulam 2(2.28%). In our study group about morbidity, 67 cases post operative period was uneventful, 3 (4.2%) cases were admitted in ICU. Conclusion: Early diagnosis of ectopic pregnancy and timely conservative surgical or medical management is essential to reduce the maternal morbidity and mortality and also helps in conserving fertility.
Authors and Affiliations
Fatima Anis, Malarvizhi G, Narmadha NS, Alla Satyanarayana Reddy
Keywords
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- EP ID EP228283
- DOI 10.17511
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