A study on risk factors and clinical presentation of ectopic pregnancy in women attending a tertiary care centre
Journal Title: International Archives of Integrated Medicine - Year 2016, Vol 3, Issue 1
Abstract
Aim: The present study was designed to study the ectopic pregnancy risk factors and their clinical presentation in ectopic pregnancy attending to a tertiary care center. Material and methods: It was a prospective study with 50 cases of ectopic pregnancy conducted in the Department of Obstetrics and Gynecology, Narayana Medical College and Hospital, Nellore for a period of 2 years were included. Detailed history suggestive of risk factors for ectopic pregnancy, menstrual and obstetric history was taken. General, systemic, abdominal and vaginal examination was done. Results: A total of 2777 pregnancies were confirmed during the study period, of which 50 cases of ectopic pregnancies were diagnosed, giving an incidence of 1.8%. 74% were in the age group of 21-30 years. 84% of women were multigravidae and 16% were primigravidae. 80% of the patients had identifiable risk factors, of which past history of PID in 26%, history of previous abortion in 16%, infertility in 10%, uterine anomalies in 4%, history of previous ectopic pregnancy in 6%, usage of IUCD and OCP in 6% each and tubectomy in 6% were noted. 96% had amenorrhea, followed by pain abdomen in 90%, bleeding PV in 68%, fainting and syncopal attack in 16% of the patients. Pallor in 56% of the cases, 18% presented with shock was noted. Percentage of haemoglobin was <7gm% in 28% observed. Evidence of 41 patients with ruptured ectopic were recorded. 7 were unruptured ectopics and 3 were tubal abortions recorded. Conclusion: Increasing awareness regarding safe sexual practices and contraception decrease abortions and reduces the risk of ectopic pregnancy. All high risk women should be screened at the earliest with serum β-hCG and TVS. The impact on future fertility can be improved by focusing on primary prevention and early diagnosis before rupture.
Authors and Affiliations
Prasanna B, Jhansi CB, Swathi K, V Shaik
Keywords
Related Articles
- EP ID EP417579
- DOI -
- Views 79
- Downloads 0
A prospective single blinded randomized study to assess post operative analgesia using ultrasound guided transverse abdominis plane block for laparoscopic appendectomy
Introduction: Pain is one of the most important factors that is responsible for many adverse outcomes during surgery and in postoperative period. Effective pain control can also facilitate rehabilitation and accelerate r...
A comprehensive study on the effect of injection methylprednisolone in post mastectomy seroma
Background: Seroma formation is a common problem after mastectomy. The incidence varies between 30% to 92%. It is often an ongoing problem after removal of the suction drain, and repeated skin puncture is necessary to re...
Comparison of Quality of Life in Oral Cancer Patients following Surgery vs Radiotherapy
Background: Oral cancer being one of the most common malignancies in the low-income group in India. It usually presents in an advanced stage limiting treatment options. The mainstays of treatment being surgery and radiot...
Papillon lefevre – A rare syndrome
Papillon lefevre syndrome (PLS) belongs to a heterogeneous group of skin diseases that are characterized by hyperkeratosis of palms and soles and presence of severe and early onset periodontitis. Genetic studies have sho...
Medico-legal knowledge assessment of interns and post graduate students in a medical institution
Background: Forensic Medicine and Toxicology is an essential subject for medical students as it deals mainly with legal aspects Aim and objectives: To assess medico legal knowledge and awareness in interns and post gradu...