Comprehensive management of ectopic pregnancy at a tertiary care hospital

Authors

  • Sonali Choudhary Department of Obstetrics and Gynecology, Lala Lajpat Rai Memorial Medical College, Meerut, Uttar Pradesh, India
  • Rachna Chaudhary Department of Obstetrics and Gynecology, Lala Lajpat Rai Memorial Medical College, Meerut, Uttar Pradesh, India
  • Shakun Singh Department of Obstetrics and Gynecology, Lala Lajpat Rai Memorial Medical College, Meerut, Uttar Pradesh, India
  • Komal Rastogi Department of Obstetrics and Gynecology, Lala Lajpat Rai Memorial Medical College, Meerut, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20250866

Keywords:

Ectopic pregnancy , Heterotopic pregnancy, Salpingectomy

Abstract

Background: The study was conducted to determine incidence, common type, risk factors, clinical presentation and to formulate standard management protocol of ectopic pregnancy in our hospital.

Methods: This study was a prospective observational study conducted at the department of obstetrics and gynecology, SVBP Hospital, LLRM Medical College, Meerut.

Results: In our study, 52 patients were diagnosed with ectopic pregnancy making incidence of 1.06%. Majority 50% of cases were within the 25-30 years and were multiparous gravida 4 (25%). The leading risk factor was history of previous abdomino-pelvic surgery (11.54%). Majority of cases had tubal ectopic pregnancy (80.8%) and there were 4 cases of caesarean scar ectopic followed by 1 case of heterotopic pregnancy. In our study 100% of cases presented with amenorrhoea, lower abdominal pain in 80.7% cases and bleeding per vagina in 17.31% cases. Majority of patients (81.82%) were managed surgically. 39 cases had unilateral salpingectomy out of which 11 had contralateral tubal ligation done. Salpingotomy was done in 1 case. 4 cases had surgical removal of caesarean scar ectopic. 18.18% cases received medical management.

Conclusions: Early diagnosis, better health care facilities, management and blood availability help in reducing mortality rates.

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Published

2025-03-27

How to Cite

Choudhary, S., Chaudhary, R., Singh, S., & Rastogi, K. (2025). Comprehensive management of ectopic pregnancy at a tertiary care hospital. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 14(4), 1222–1228. https://doi.org/10.18203/2320-1770.ijrcog20250866

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Original Research Articles