Abstract

Risk factors for ectopic pregnancy include: pelvic inflammatory disease, often due to chlamydia infection, tobacco smoking, prior tubal surgery, a history of infertility, and the use of assisted reproductive technology. We have to find out whether there is association of ectopic pregnancy with other etiological factors and risk factorsin a peripheral medical college of West Bengal. 100 women admitted with ectopic pregnancy in the Department of Obstetrics And Gynaecology within the study period between April 2016-November 2018 at Midnapore Medical College and Hospital, Paschim Midnapore, West Bengal. We found that the mean of age (mean±s.d.) of patients was 25.4000 ± 3.5777 years. The mean of gestation age (mean±s.d.) of patients was 41.9308 ± 5.9222 days. The proportion of no history of infertility was significantly higher than history of infertility (p<0.0001) and the proportion of no history of IUD was significantly higher than no history of IUD (p<0.0001). 23(17.7%) patients had history of PID, 55(42.3%) patients had Pre CS and 28(21.5%) patients had Previous BTL. PID is the identifiable risk factor leading to ectopic pregnancy. In addition, those who provide care to women of childbearing age should not assume that a history of tubal sterilization rules out the possibility of an ectopic pregnancy in a woman who has symptoms or signs of pregnancy, especially of ectopic pregnancy.

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