Diagnostic Modalities and Outcome of Ectopic Pregnancy: An Analysis
Journal Title: Scholars Academic Journal of Biosciences - Year 2017, Vol 5, Issue 10
Abstract
Ectopic pregnancy occurs when a blastocyst implants outside the uterine cavity. It is still the leading cause of first trimester related maternal death. The classical triad of amenorrhoea, abdominal pain, and vaginal bleeding is seen in only 50 % of patients with ectopic pregnancy. Hence a strong clinical suspicion along with ultrasonography can aid in the diagnosis and prompt management.It is a retrospective study conducted at North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, North-East India. All women diagnosed with ectopic pregnancy from May 2015 to July 2017 have been included in the study. All women who presented to our hospital with ectopic pregnancy were analysed from the available case sheets from the medical record department of our institute. The relevant data was collected.During the study period there were 66 cases of ectopic pregnancies. The incidence of ectopic pregnancy is 2.61%. The most common age group was 26-30 years (33.33%) and was multigravida 77.27%. The most common risk factors was pelvic inflammatory disease seen in 13(19.7%) and previous history of surgical abortion 13(19.7%). 21 (31.82%) of the cases were hemodynamically unstable. A total of 10 cases (15.15%) were managed conservatively, 6 (1.38%) were subjected to medical management and 50(75.76%) cases were managed surgically. Serum β-HCG estimation was performed on 43.93% of the cases. All cases were subjected to ultrasonography (combined transvaginal and transabdominal). Anaemia was seen in 66.67% patients of which 4.55% had a hemoglobin level <4 gms%. Intraoperatively the most common site was ampulla 62% .No patient developed post operative complications and there was no mortality in the study group.Ectopic pregnancy is an emergency scenario. Early diagnosis can reduce morbidity and mortality. Availability of ultrasonography and serum β-hcg can help to choose the method of management and avoid surgical intervention.
Authors and Affiliations
DrNalini Sharma, DrJupirika E Pyrbot
Keywords
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