Ruptured Ectopic Pregnancy, the Challenges for the Obstetrician: Single Center Prospective Study
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 5
Abstract
Introduction: Ruptured ectopic pregnancy is a life threatening obstetrical emergency and presents in various ways. The aim was to evaluate predisposing factors associated with development of ectopic pregnancy in current scenario and evaluation done for association between ectopic pregnancy and constellation of signs/ symptoms. Material and Methods: A prospective study conducted between Jan 2017 to April 2018 at a tertiary center for women attending emergency department presenting to our center with complains of missed period or scanty periods with abdomen pain were included. Women with abdominal pain and non suspicious of ectopic pregnancy and medically planned cases of ectopic pregnancy were excluded. Results: The prevalence of ruptured ectopic pregnancy in present study was 1.84% amongst all antenatal cases entering to the hospital. The predominant complain was abdominal pain(95.45%), missed periods (77.27%) and vomiting (50%). The positive past history of use of emergency pill (36.36%) and unsupervised medical abortion pill (27.27%), tubal surgery (22.73%) and PID (50%) were associated factors. The serum βhCG was significantly associated in rupture EP. The abdominal tenderness and hemoperitonuem was found strongly associated. The morbidity assessed by high blood transfusion rate (86.36%).The commonest site of rupture was ampulla 68.18% of fallopian tube. Conclusion: The ruptured ectopic pregnancy is a life threatening emergency obstetrical condition a. The unsupervised usage of abortificient along with atypical clinical history have increased diagnostic dilemma in ectopic pregnancy therefore Early diagnosis and treatment of ectopic pregnancy are the only modality available to prevent tubal ruptured and its associated morbidity.
Authors and Affiliations
Kaveri Shaw Patel, Roma Sonkar Nag, Lovely Jain
Keywords
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