A study of incidence, risk factors of ectopic pregnancy and it's outcome with efficient management at peripheral tertiary care centre in Maharashtra
Journal Title: Medpulse International Journal of Gynaecology - Year 2018, Vol 6, Issue 2
Abstract
Background: Ectopic pregnancy is one of the few medical conditions that can be managed expectantly, medically or surgically. However, in the developing world it has been estimated that 10% of women of ectopic pregnancy ultimately die from the condition. Ectopic pregnancy still accounts for 4% to 10% of pregnancy-related deaths and leads to a high incidence of ectopic site gestations in subsequent pregnancies. It’s prevalence in India is 1-2% but it accounts for 3.5-7.1% of maternal deaths. Objectives: The aim of this study was to determine and evaluate the incidence, clinical presentation, risk factors, and to find the management outcomes of ectopic pregnancies at Dr. S.C.G. Medical College,Vishnupuri, Nanded- 431 606, a tertiary care centre in Maharashtra Materials and Methods: This was a retroprospective study of ectopic pregnancies managed in Dr. S.C.G. Medical College, Nanded during the study period (January 1,2016 to December 31,2016). The medical records of the patients managed for ectopic pregnancy during the period under were reviewed. Observations and Results: The incidence of ectopic pregnancy was0.53%. Majority of patients 64.5% were in the age between 21 to 30 years. We encountered maximum cases in three and more issues 35.6% (21 cases).Tubal surgery was commonest predisposing factor and ampulla was commonest site (37.29%).Majority of cases underwent unilateral salpingectomy (74.6%).Classical triad was present in almost half of the patients. There were 55 (93.2%) ruptured cases of which 42 were hemoperitoneum. We did not encounter a single mortality. Out of total 55 ruptured pregnancies, 50% were within 7 weeks of gestation. Ampulla was commonest site for ruptured pregnancy with 36.36% cases. Conclusion: By reducing and identifying the risk factors and diagnosing the patient clinically or by USG at the earliest and treated with efficient surgical management and postoperative care.we can improve the prognosis so far as the morbidity,and mortality.
Authors and Affiliations
Shirish Dulewad, Ratna S Gupta
Keywords
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