A Retrospective Study on Ectopic Pregnancy in a Tertiary Care Center
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 8
Abstract
Introduction: Ectopic pregnancy is one of the leading causes of maternal death during first trimester. Any woman in the reproductive age group, presenting with amenorrhea, lower abdominal pain or vaginal bleeding must raise the suspicion of an ectopic pregnancy to prevent mortality and morbidity. Aim: This study was done to know the incidence, diverse clinical presentations, period of gestation at the time of presentation, high risk factors predisposing for ectopic pregnancy; and to investigate the intra-operative findings and management employed in all cases of ectopic pregnancy. Materials and Methods: This was a retrospective cohort study, conducted at Mahatma Gandhi Hospital, Jaipur. Medical records of all cases of ectopic pregnancy; from January 2018 to December 2018 were retrieved. Demographic data, obstetric history, risk factors, clinical features, mode of management and need for blood transfusion was noted. Main outcome measures studied were the incidence of ectopic pregnancy, risk factors, duration of amenorrhea at the time of presentation, mortality and morbidity in these women. Statistical Analysis: Data was entered in Microsoft Excel spreadsheet and analyzed using SPSS software version 19.0. For categorical variables, data was compiled as frequency and percent. Results: 50 cases ectopic pregnancy presented during the one-year study period, with an incidence of 1.5% over total deliveries. 84% cases aged between 21-35years, 36% being primigravida. The most common risk factors identified was previous abdominopelvic surgery 40%. Second common factor came out to be history of abortion associated with or without dilatation and evacuation, in 22% of cases. History of infertility treatment found in 20%. There was no identifiable risk factor in 18 % of cases.48% patients presented at a gestational age of 6-8 weeks. The classic triad of lower abdominal pain, amenorrhea and vaginal bleeding was seen in 60% cases. Ultrasonographic findings were positive in all cases. 98% were tubal ectopic pregnancies. One case of cesarean scar ectopic was noted. Haemoperitoneum was seen in all cases. Most common surgical procedure employed was salpingectomy in 92% and salpingo-oopherectomy in 6%.One hysterectomy was done due to excessive intra-operative bleeding in case of cesarean scar ectopic.80% patients required blood transfusion in intra-operative and post-operative period. No deaths were noted. Conclusion: Most cases present late making tubal conservation inapplicable. Common risk factors for ectopic pregnancy must be identified. High index of suspicion and prompt management is required to prevent complications and preserve the future reproductive function of patient.
Authors and Affiliations
Dr. Sapna Kumari Yadav
Keywords
Related Articles
- EP ID EP666130
- DOI -
- Views 119
- Downloads 0
Occupational Health Assessment of Power-loom Industry Workers in Solapur City Somnath Kolgiri1, Dr. Rahul Hiremath2.
Introduction: The power-loom sector is one of the important but unorganized parts of the textile industry of India and mostly run by private firms and plays an important role in the country's economy, providing employmen...
Relation of Red Cell Distribution Width And Severity Of Stemi.
Background: Higher values of RDW may show association with adverse outcomes in patients with acute coronary syndrome. The objective of study was to assess the correlation between red cell distribution width with short te...
Reconstruction of through-and- through cheek defect following carcinoma surgery-for mucosal lining and cover both by Free Anterolateral Thigh (ALT) Flap
Free flaps are common option for soft tissue reconstruction and improvements of the surgical technique have progressively concerned the function and appearance of the recipient and donor sites. The anterolateral (ALT) th...
An Epidemiological Study on Topical Steroid Misuse in Various Dermatoses.
Background: Topical corticosteroids, being one of the most frequently prescribed classes of drugs in clinical practice today, are very often subjected to misuse. A vast majority of the patients are unaware of the untowar...
Clinical profile of Guillian Barre Syndrome (GBS) in a tertiary care hospital of GMC Srinagar.
Background: This study was done in SMHS hospital of Government Medical College Srinagar over a period of 2 years.Different clinical presentation of GBS were noted and correlation between clinical features and outcome at...