Ectopic Pregnancy - A Clinical Study with Special Reference to Post Sterilization
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 7
Abstract
Introduction: Ectopic pregnancy remains the leading cause of maternal death in early pregnancy. Study aimed to analyze cases of ectopic pregnancy regarding clinical features and operative findings with special reference to the the incidence in women after sterilization. Material and methods: Retrospective study of 50 cases of ectopic pregnancy at Gandhi medical college and hospital, secunderabad, for a duration of 2 years. A detailed history taken regarding complaints,examination done and investigated with routine investigations , ultrasound, culdocentesis and urine pregnancy test. Results: In our study, 60% Patients were in 26-30 yrs age group, while 80% were multiparous. 40% showed no identifiable risk factors. 26% were post sterilization , 20% with history of infertility, 4% had IUCD, 4% with history of tuberculosis. 94% presented with abdominal pain, amenorrhea in 72% and 44% with vaginal bleeding On examination, cervical motion tenderness in 64% , fornicial mass in 70%. On evaluation, 98% had positive urinary pregnancy test. 86% of ectopic gestation was in fallopian tube (10%- cornual, 16%-isthmal, 46%- ampullary, 2% fimbrial, 12% tubal abortion). 4% were in rudimentary horn, 6% ovarian, 4% were secondary abdominal. Conclusion: Ectopic pregnancy forms one of the commonest obstetrics emergency. High degree of suspicion leads the clinician to the diagnosis of ectopic pregnancy. Timely and appropriate management reduces the mortality drastically. In all women with reproductive age irrespective of their previous sterilization status, presenting with abdominal pain and vaginal bleeding, ectopic should be suspected.
Authors and Affiliations
K Sarala, Tejashree Shirale
Keywords
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