A Retrospective Study on Ectopic Pregnancy in A Tertiary Care Hospital
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 4
Abstract
Introduction: Ectopic pregnancy is defined as any intra or extra-uterine pregnancy in which the fertilized ovum implants at an aberrant site which is in conducive to its growth and development.1 It is catastrophic and life threatening condition and one of the commonest acute abdominal emergency in day to day practice affecting approximately 2% of all pregnancies.2 Materials and Methods: This retrospective study was conducted over a period of two years from February 2015 to January 2018 in department Of Obstetrics and Gynecology at MGM Medical College and Hospital, Jamshedpur, India. It is a tertiary care center getting referrals from nearby cities and other hospitals. A total of 29 cases reported during this frame with ectopic pregnancy and were admitted at our hospital through emergency or outpatient department. The diagnosis of ectopic pregnancy was made mainly by history-taking, clinical physical examination, laboratory (urine pregnancy test/serum beta HCG), and radiological (ultrasound) investigations. These cases were traced through the registers kept in casualty, gynecology wards and OT records. The labour room registers were used to determine the total number of deliveries during this period. Results: In the present study, which was conducted over a period of 3 year, the total number of deliveries was 15160 and the total number of ectopic pregnancies was 29. More than half of the cases (66.25%) had one or the other identifiable risk factor (Table 2). Amongst the various risk factors studied either spontaneous or induced abortion was found in 31.25%. This was followed by a history of previous abdominopelvic surgery (23.75%). Among women who had undergone surgeries 6.55% had tubectomy, 4.91% had previous LSCS and one patient had tuboplasty. History of self-administered MTPill intake was present in 16.39%. Repeat ectopic pregnancies were seen 1.63% of cases. There was no identifiable risk factor in 27.86% of cases. Conclusion: Ectopic pregnancy is still a major challenge in obstetrical practice because of its bizarre clinical presentation and is one of the commonest causes of pregnancy related deaths in the first trimester. It can be diagnosed early by keeping a high index of suspicion. Despite exhaustive efforts to prevent ectopics the numbers are constantly rising due to increased reporting of the cases and improved diagnostic modalities. Delay in referral causes significant morbidity and diminishes the chances of preserving future fertility. Mass education regarding safe abortion practices and post abortal care should be promoted. Unsupervised usage of MTP pill intake should be condemned.
Authors and Affiliations
Dr Nootan Dayal, Dr Anjali Srivastava
Keywords
Related Articles
- EP ID EP574486
- DOI 10.9790/0853-1804121114.
- Views 67
- Downloads 0
To Study the Effect of Aloes (Kumari Ghan) In Puerperium (Sutikawastha)
Ayurveda has given utmost importance to puerperium (sutikawastha). During puerperium the body tissue, especially the pelvic tissue reverts back approximately to the pre pregnant state both Anatomically and physiologicall...
The Practice of Oral and Maxillofacial Surgery in Nigeria: Some Challenges and Way-forward
Oral and Maxillofacial Surgery is a specialty of dentistry with a scope ranging from the treatment of orofacial congenital anomalies such as cleft lip and palate, through orofacial infections, maxillofacial traumatology,...
Functional Outcome of Acromioclavicular Dislocation Treated By Hook Plate
Background: Internal fixation with hook plate has been used to treat acromioclavicular joint dislocation. This study aims to evaluate the effect of its use on shoulder function, to further analyze the contributing factor...
Assessment of the viability and progress of the fasciocutaneous flap based on flap glucose level in comparison to capillary blood glucose level
.
Is There Hope For Breast Cancer Patients Without Surgery??: An Institutional Retrospective Disease Free Survival Study.
Background: Recently incidence of carcinoma breast has increased many folds and surpassed cervical malignancy. Management of breast carcinoma has multi modality treatment. One or the other modality, sometimes surgery is...