A Retrospective Study of Ectopic Pregnancies Presenting in a Tertiary Care Centre in Saurashtra
Journal Title: Indian Journal of Obstetrics and Gynecology - Year 2019, Vol 7, Issue 2
Abstract
Aims: Aim of this study is to determine the incidence, clinical features, associated risk factors, treatment undertaken along with, morbidity and mortality associated with ectopic pregnancy. Methods: This retrospective study was done in Guru Gobind Singh General Government Hospital, attached to Shri M.P. Shah Medical college, Jamnagar, Gujarat, India. July 2017 to June 2018 for the period of 1 year. The following parameters: age of patient, parity at presentation, gestational age at presentation, associated risk factors, clinical features, site of ectopic gestation, diagnostic methods utilized, mode of treatment, morbidity and mortality were noted. Results: Out of 7700 deliveries, 64 were ectopic pregnancies (0.83%). Ectopic gestation was common in multiparous women (76.56%) and within age group of 20-25 years (40.6%). Common symptoms were abdominal pain (85.93%), amenorrhea (82.8%), bleeding per vaginum (53.12%), asymptomatic (14%) patients. Urine pregnancy test was positive in96.8%. Right sided ectopic was more common. In fallopian tubes ampulla (68.75%), cornua (10.93%), isthmus (9.37%), fimbria (7.81%), followed by ovarian ectopic (3.12%). About 64% of ectopic were ruptured at presentation. Tubal abortions were noted in 18.75% of ectopic pregnancies. Salpingectomy in 92.2% cases and salpingo-oopherectomy in 3.12% cases were performed in ruptured ectopic. Conclusions: Early diagnosis and identification of underlying risk factors coupled with timely intervention in the form of conservative or surgical treatment will help in reducing the morbidity and mortality due to ectopic pregnancy.
Authors and Affiliations
Nita H. Rada
Keywords
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- EP ID EP627280
- DOI 10.21088/ijog.2321.1636.7219.24
- Views 61
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