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
Related Articles
- EP ID EP627280
- DOI 10.21088/ijog.2321.1636.7219.24
- Views 65
- Downloads 0
Low Dose Magnesium Sulphate for Management of Eclampsia, Preeclamisa: An Evidence Based Alternative to Pritchard Regime
Background: To evaluate the efficacy of low dose MgSO4 Regime in management of eclampsia and comparing it with Pritchard Regime regarding control of convulsions, Serum Magnesium levels, Maternal and perinatal outcome. Me...
Profile of Maternal Deaths: Descriptive Clinical Study
Introduction: Globally, an estimated 287 000 maternal deaths occurred in 2010, a decline of 47% fromlevels in 1990. Sub-Saharan Africa (56%) and Southern Asia (29%) accounted for 85% of theglobal burden (245 000 maternal...
Cervical Pap Smear in Screening: A Retrospective Study
Background: Cancer of the cervix is the third most common cancer in women. In India and other developing countries cervical cancer is the leading cause of morbidity and mortality. Cancer cervix is readily preventable, an...
Profile of Gynaecological Malignancies in a Tertiary Care Centre
Aim of the Study: To study the incidence, age at presentation, sites of involvement of various gynaecological cancers, treatment aspects of gynaecological malignancies in a tertiary care hospital. Methodology: Retrospect...
Determinants of Perinatal Mortality: A Hospital Based Study
Introduction: Progress of quality improvement in health services is expected to reduce perinatal mortality rate. Various studies from all over India have quoted perinatal mortality rate of 60120/ 1000 births which is ala...