Evaluating clinical outcomes associated with ectopic pregnancies
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20220060Keywords:
Ectopic pregnancy, Salpingectomy, Ampulla regionAbstract
Background: Ectopic pregnancy refers to the implantation of a fertilized ovum outside the endometrium. There is no doubt that ectopic pregnancy is a common cause of morbidity; however, the associated mortality has declined significantly over the years due to early diagnosis and timely intervention.
Methods: This prospective study was conducted at Lala Ded Hospital, Srinagar from April 2016-March 2017. All the patients with ectopic pregnancies admitted through accident and emergency unit and through gynaecoloy out-patient department were included in the study. The data on several factors was analyzed like; parity, clinical presentation, risk factors, management and findings at laparotomy, to draw a valid inference. All the patients were managed as per hospital protocol and followed till discharge from the hospital.
Results: The present study revealed that the commonest age group affected with ectopic pregnancies is 20-24 years with majority of patients having previous spontaneous abortion as being high risk factor associated with ectopic pregnancies followed by pelvic inflammatory disease. The most dominant clinical presentation among the study subjects was pain and the commonest site of ectopic pregnancy was ampulla region of fallopian tube. Most of the patients were successfully managed with the help of salpingectomy
Conclusions: We suggest that the possibility of ectopic pregnancies should not be ignored in the reproductive age group especially in patients presenting with severe abdominal pain because delayed diagnosis often halts timely intervention which in turn invite serious health consequences.
References
Walker JJ. Ectopic pregnancy. Clin Obstet Gynecol. 2007;50(1):89-99.
Giustina D, Denny M. Ectopic pregnancy. Emerg Med Clin North Am. 2003;21(3):565-84.
Varma R, Gupta J. Tubal ectopic pregnancy. BMJ Clin Evid. 2009;2009:1406.
Crowhurst JA, Plaat F. Why mothers die--report on confidential enquiries into maternal deaths in the United Kingdom 1994-96. Anaesthesia. 1999;54(3):207-9.
Storeide O, Veholmen M, Eide M, Bergsjø P, Sandvei R. The incidence of ectopic pregnancy in Hordaland County, Norway 1976-1993. Acta Obstet Gynecol Scand. 1997;76(4):345-9.
Simms I, Rogers PA, Nicoll A. The influence of demographic change and cumulative risk of pelvic inflammatory disease on the incidence of ectopic pregnancy. Epidemiol Infect. 1997;119(1):49-52.
Malik R, Jain S, Duhan N, Sirohiwal D. Clinical outcomes of ectopic pregnancy. Int J Reprod Contracept Obstet Gynecol. 2017;6:4277-80.
Sindos M, Togia A, Sergentanis TN, Kabagiannis A, Malamas F, Farfaras A, et al. Ruptured ectopic pregnancy: risk factors for a life-threatening condition. Arch Gynecol Obstet. 2009;279(5):621-3.
Sotubo O, Aboyeji AP. Ectopic pregnancy in Ilorin, Nigeria: a five-year review. Niger Med Pract. 1994;27:25-7.
Condous G, Timmerman D, Goldstein S, Valentin L, Jurkovic D, Bourne T. Pregnancies of unknown location: consensus statement. Ultrasound Obstet Gynecol. 2006;28(2):121-2.
