Analysis of 40 cases of ectopic pregnancy to know the changing trends in the etiology and management.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 11
Abstract
Aim: Study of incidence of ectopic pregnancy in relation to ART usage and other etiological factors. Effect of advances in technology and management approach to ectopic pregnancy. Background: Ectopic pregnancy is a complication of pregnancy in which the embryo attaches outside the uterus. With increase in the incidence of PID and use of ART for infertility, there is increase in the incidence of ectopic pregnancy in recent times. Fewer than 50 percent of affected women have symptoms. TVS is the best for early diagnosis. Medical management has a role in some cases. Material and methods: Prospective study at GMH, Osmania medical college, Hyderabad from February– July 2013. 40 cases of ectopic pregnancy admitted during the period are analyzed as to etiology, clinical presentation, mode of diagnosis and management. There were 40 cases of ectopic pregnancy admitted to our institute during 6 month period from February– July 2013 as it is a tertiary care institute with referrals from public and private sector. Results: ART for infertility, previous history of STD, MTP, and failed tubectomy are the common causes. Amenorrhea is the most common presenting symptom followed by pain abdomen. Urine pregnancy test, TVS and ß hcg measurement are main methods of diagnosis. 6 patients were in state of shock and were taken up for emergency laparotomy and salpingectomy; 12 had laparoscopic tubal resection and 10 received medical management. Conclusion: Increased clinical suspicion, early diagnosis by TVS and effective medical management decreases the surgical morbidity and mortality.
Authors and Affiliations
Dr. A. Padmaja, Dr K. Vijaya, Dr Usha Suresh, Ramya Karanam
Keywords
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- EP ID EP415469
- DOI 10.9790/0853-1711050611.
- Views 83
- Downloads 0
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