A clinical study of ectopic pregnancy at a tertiary care hospital of North Delhi


  • Sweta Department of Obstetrics and Gynaecology, Hindu Rao hospital and NDMC Medical College, Delhi, India
  • Shazia Anjum Department of Obstetrics and Gynaecology, CHC Mendhar, Jammu and Kashmir, India
  • Suman Lata Mendiratta Department of Obstetrics and Gynaecology, Hindu Rao hospital and NDMC Medical College, Delhi, India




Ectopic pregnancy, Obstetric emergency, Fetal wastage, Maternal morbidity and mortality, Future infertility, Laparotomy


Background: aim was to study the risk factors, clinical presentation and management of ectopic pregnancy in a tertiary care centre of North Delhi

Methods: This was a prospective observational study conducted in the department of obstetrics and gynaecology Hindu Rao hospital and NDMC medical college, Delhi. A total of 65 cases of ectopic pregnancy were analyzed, over a period of 1 year that is from September 2020 to August 2021

Results: The incidence of ectopic pregnancy was 12.8/1000 deliveries. Majority of cases were multigravidas and of gestation age between 6 to 10 weeks. The common risk factors were PID, contraception failure (IUCD), tubal ligation, infertility, ART procedures, tubal surgery, and previous ectopic and previous abortion. Ultrasound, urine pregnancy test, serum β-hCG titre were done. Laparotomy was done in all cases. Surgery in form of salpingectomy, salpingo-oophorectomy, and uterine reconstruction was done. No maternal mortality occurred.

Conclusions: Diagnosis of ectopic pregnancy requires clinical suspicion and supportive investigations like UPT, ultrasonography, β-HCG and laparoscopy. It is an important cause of admission to Hindu Rao hospital as maternal near miss cases.


Linde T. Operative Gynaecology. 8th ed. Philadelphia: Lippincott- Raven; 1997;501-27.

Karaer A, Avsar FA, Batioglu S. Risk factors for ectopic pregnancy: a case-control study. Aust NZ J Obstet Gynaecol. 2006;46:521-7.

Jophy R, Thomas A, Mhaskar A. Study of tubal ectopic pregnancy at a tertiary teaching centre. J Obst and Gyn India. 2002;52:55-8.

Centers for Disease Control and Prevention. Ectopic pregnancy- United States, 1990-1992. Morb Mortal Wkly Rep. 1995;44(3):46-8.

Yadav DP. Ectopic pregnancy: a comprehensive analysis of risk factors and management. Int J Reprod Contracept Obstet Gynecol. 2016;5(80):2723-7.

Sudha VS, Thangaraj DR. A retrospective study on ectopic pregnancy: a two year study. Internat J Reprod Contracept Obstet Gynecol. 2016;5(12):4365-8.

Latchaw G, Takacs P, Gaitan L, Geren S, Burzawa J. Risk factors associated with the rupture of tubal ectopic pregnancy. Gynecol Obstet Invest. 2005;60(3):177-80.

Shetty SK, Shetty AK. Clinical Study of Ectopic Pregnancies in a Tertiary care hospital of Mangalore, India. Innovat J Med Health Sci. 2014;4(1):305-9.

Gupta R, Porwal S, Swarnkar M, Sharma N, Maheshwari P. Incidence, trends and risk factors for Ectopic Pregnancies in a tertiary care hospital of Rajasthan. JPBMS. 2012;16(7):1-3.

Gaddagi RA, Chandrashekhar AP. A Clinical study of ectopic pregnancy. JCDR. 2012;6:867-9.

Soren M. A clinical study on ectopic pregnancy. Int J Res Med Sci. 2017;5(11):4776-82.

Dabata BY. Management and outcome of Ectopic pregnancy in Developing Countries. Available at: https://www.intechopen.com/chapters/22235. Accessed on 20 February 2023.

Rajkhowa M. Trends in the incidence of ectopic pregnancy in England and Wales from 1966 to 1996. BJOG. 2000;107(3):369-74.

Abbas A, Akram H. Ectopic Pregnancy; Audit at Maula Bakhsh Teaching Hospital Sargodha. Med J. 2011;18 (1):24-7.

Lozeau AM, Potter B. Diagnosis and management of ectopic pregnancy. Am Fam Physician. 2005;72:1707-14.

Karki RCL, Pradhan B, Duwa S. Annual analysis of ectopic pregnancy in tertiary care hospital. PMJN. 2011;11:5-8.






Original Research Articles