A retrospective study on ectopic pregnancy aspiration by transvaginal ultrasound at Institute of Kidney Diseases And Research Centre

Vineet V. Mishra; Priyanka Rane; Rohina S. Aggarwal; Kunur N. Shah

doi:10.18203/2320-1770.ijrcog20231541

Authors

Vineet V. Mishra Department of Obstetrics and Gynecology, Institute of Kidney Diseases and Research Centre, Asarwa, Ahmedabad, Gujarat, India
Priyanka Rane Department of Obstetrics and Gynecology, Institute of Kidney Diseases and Research Centre, Asarwa, Ahmedabad, Gujarat, India
Rohina S. Aggarwal Department of Obstetrics and Gynecology, Institute of Kidney Diseases and Research Centre, Asarwa, Ahmedabad, Gujarat, India
Kunur N. Shah Department of Obstetrics and Gynecology, Institute of Kidney Diseases and Research Centre, Asarwa, Ahmedabad, Gujarat, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20231541

Keywords:

Ectopic, Pregnancy, Transvaginal ultrasound guided aspiration

Abstract

Background: Majority of the reports suggest that the frequency of ectopic pregnancies have grown in the last 30 years, especially in patients conceived through artificial reproductive techniques (ART). To prevent severe morbidity and mortality its prompt diagnosis and appropriate management is important. In a select patient population, most of the unruptured, live ectopic pregnancies can be successfully managed without surgical intervention using trans-vaginal ultrasound guided aspiration and instillation of local injection KCl or administration of systemic Inj. Methotrexate.

Methods: This study is a hospital based retrospective cohort study from January 2014 to December 2022 on patients who presented to Institute of Kidney Diseases and Research Centre (IKDRC) with unruptured ectopic pregnancy confirmed with ultrasound and β HCG. All the patients were analyzed according to history, clinical presentation, investigations, treatment and complications.

Results: β-HCG day 1 or 2 post procedure dropped in all cases but in variable levels ranging from 1.3% to 85.88%, while the drop during days 7-10, was more significant and reassuring; ranged from 48.69% to 98.95%.

Conclusions: By aspiration of ectopic gestational sac transvaginally under ultrasonographic guidance it is able to preserve the integrity of uterus and fallopian tube and thus the future fertility. The study will educate other healthcare professionals.

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