Clinical analysis of ectopic pregnancies in a tertiary care center: a two-year retrospective study

Bhavesh B. Airao; Jahnvi M. Vyas

doi:10.18203/2320-1770.ijrcog20222478

Authors

Bhavesh B. Airao Department of Obstetrics and Gynaecology, C.U. Shah Medical College, Surendranagar, Gujarat, India
Jahnvi M. Vyas Department of Obstetrics and Gynaecology, C.U. Shah Medical College, Surendranagar, Gujarat, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20222478

Keywords:

Amenorrhea, Ectopic pregnancy, Risk factors, B-Hcg, Salpingectomy

Abstract

Background: Ectopic pregnancy is defined as the implantation and development of blastocyst at a site other than the endometrial lining of the uterine cavity. With its incidence rising, there have been advances in its early diagnosis by Transvaginal sonography, B-Hcg assays and availability of medical and surgical management, thereby reducing mortality and morbidities.

Methods: 100 cases were reported in a span of 2 years. Incidence, causes, diagnosis, past history of infertility treatment, tubal ligation, B-Hcg level, hemoglobin level, USG findings were reviewed and the cases were managed accordingly.

Results: Incidence was 1/170 pregnancies and was highest between 25-30 years of age; more common in multigravida than primigravida; lower abdominal pain being the most common presenting complain followed by bleeding per vaginum. Etiology-idiopathic>previous abortion>pelvic infection>infertility treatment>previous ectopic>previous pelvic surgeries. Tubal ectopic being the most common followed by cornual>ovarian>rudimentary horn>scar ectopic>abdominal ectopic. More than 2/3^rd cases were ruptured ectopics yet most patients were vitally stable at the time of presentation and immediate laprotomy followed by salpingectomy was the preferred modality. Patients who were hemodynamically stable, had Gsac size <4 cm by TVS, B-hcg levels <10,000 U/ml and no free fluid in the pelvic cavity, were managed medically. Most patients required blood transfusion, other than that there was trivial morbidity and no mortality.

Conclusions: Most patients being vitally stable on presentation so timely diagnosis and management could prevent mortality and reduce the morbidities to a great extent.

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Author Biography

Jahnvi M. Vyas, Department of Obstetrics and Gynaecology, C.U. Shah Medical College, Surendranagar, Gujarat, India

RESIDENT DOCTOR,

OBGYN DEPARTMENT

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