DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20150718

Ectopic pregnancy: a five year retrospective study in a tertiary care hospital

Arti Gupta Tuli, Sunita Goyal, David Livingston, Amritha Susan Kurian

Abstract


Background: A ruptured ectopic pregnancy is a true emergency and remains the leading cause of pregnancy related first trimester deaths. The objective was to study the clinical profile of ectopic pregnancy in a tertiary care hospital.

Methods: It was a retrospective study conducted at Christian Medical College & Hospital, Ludhiana from 1st June 2009 to 31st May 2014. A total of 108 patients with ectopic pregnancy were analysed on clinical presentation, clinical findings, investigations, operative findings and outcome.

Results: A majority of women (44.44%) were in the age group of 26-30 years and 50% were multigravida. Risk factors were identifiable in 71.29% patients. Amenorrhea (91.6%) and pain abdomen (92.82%) were the most common presenting symptoms. Twenty (18.51%) women had laparoscopy, 72 (66.67%) underwent an exploratory laparotomy and sixteen (14.81%) women received medical management. There were no maternal deaths and post-operative morbidity in the form of febrile illness (11.11%), and wound sepsis (4.62%) was seen.

Conclusions: Ectopic pregnancy still remains one of the major causes of maternal morbidity and mortality. Early diagnosis and referral in hemodynamically stable state along with use of minimal access surgery or medical management can change the scenario of ectopic pregnancy in the developing world. 


Keywords


Ectopic, Pregnancy, Amenorrhoea

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References


Okunlola MA, Adesina OA, Adekunle AO. Repeat ipsilateral ectopic gestation- a series of three cases. African J Medicine and Med Science 2006;35:173-5.

Pendyala Sujata, Basanta Kumar Pati, Gangadhar Sahoo et al. Ectopic Pregnancy – A Five Year Review. Indian Journal of Perinatology and Reproductive Biology. 2014;04(02):21-4.

Yakasai IA, Abdullahi J, Abubakar IS. Management of ectopic pregnancy in Aminu Kano teaching hospital Kano Nigeria: A 3 year. Global Advanced Research Journal of Medicine and Medical Sciences. August 2012;1(7):181-5.

Farquar CM. Ectopic pregnancy. Lancet 2005;366: 583-91.

Chanda Karki, Anjana Karki, Kundu Yangzom. Ectopic pregnancy and its effect on future fertility. South Asian Federation of Obstetrics and Gynecology. 2009;1(1):35-9.

AO Igwegbe, Gu Eleje, BC Okpola. An appraisal of the management of ectopic pregnancy in a Nigerian Tertiary Hospital, Ann Med Health Science Res. 2013;3(2):166-70.

Maifa Abdulaziz Al Turki, ISRN Obstetrics and Gynaecology Volume 2013(2013), http//dx.doi.org/10.1155/2013/97251.

Majhi AK, Roy N, Karmakar KS, Banerjee PK. Ectopic pregnancy – An analysis of 180 cases. J Indian Med Assoc. 2007;105:308-12.

Dutta DC, Haemorrhage in Early pregnancy. In: Koner H, editor. Textbook of Obstetrics. Revised reprint of 7th edition: Nov. 2013; 177-190.

Te Linde’s, Ectopic Pregnancy. In: John A. Rock, Howard W. Jones III editor. Operative Gynecology. 10th edition, 7th Indian Reprint, 2014; 798-824.

Bouyer J, Coste J, Shojae T, Poyl JL, Fernandez H, Gerband L et al. Risk factors for ectopic pregnancy: A comprehensive analysis based on a large case control population based studies in France. Am J Epidemiol. 2003;157:185-94.

Shaista A, Bothaina AW, Hussain AS. Frequency of ectopic pregnancy in a medical centre, Kingdom of Saudi Arabia. JPMA 2011, 61:221.

Rashmi A Gaddagi, AP Chandrashekhar. A clinical study of ectopic pregnancy. Journal of clinical and diagnostic Research. 2012;6(5):867-9.

Chakraborty S, Mukherjee S, Roy J. Ectopic pregnancy- a study in a tertiary care centre. Ind J Perinat & Reprod Biol 2011;1(3):35-7.

Patrick T, Yolande H, Nathalie G et al. Ectopic Pregnancy in Conakry, Guinea. Bull World Health Organ 2002;80(5):365-70.

Rose IA, Ayodeji O, Sylvia A et al. Risk factors for Ectopic Pregnancy in Lagos, Nigeria. Acta Obstet. Gynecol. Scand. 2005;84:184-8.

Olofsson JI, Poromaa IS, Ottander U, Kjellberg L, Damber MG. Clinical and pregnancy outcome following ectopic pregnancy; a prospective study comparing expectancy, surgery and systemic methotrexate treatment. Acta Obstet Gynaecol Scand 2001;80(8):744-9.