A clinical study of ectopic pregnancy in a tertiary care centre in Hubli

Authors

  • Swetha Dama Department of Obstetrics and Gynaecology, Karnataka Institute of Medical Sciences, Hubli, Karnataka India
  • Amitha Kamat Department of Obstetrics and Gynaecology, Karnataka Institute of Medical Sciences, Hubli, Karnataka India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20171429

Keywords:

Ectopic pregnancy, Laparotomy, Ruptured ectopic, Salpingectomy, Tubal sterilisation

Abstract

Background: To evaluate the burden of ectopic pregnancies in our hospital over the period of one year and to evaluate the risk factors, mode of intervention and outcomes of those cases.

Methods: A retrospective analysis was conducted in Karnataka Institute of Medical Sciences, Hubli over the period of one year from January 2015 to December 2015. All patients admitted with a diagnosis of ectopic pregnancy, either ruptured or unruptured were included in the study. Their history, risk factors, outcome and complications were also evaluated in detail.

Results: 40 patients with diagnosis of ectopic pregnancy were admitted, yielding to an incidence of 3.76/1000. Most patients presented to our hospital in a state of shock. 26(65%) were ruptured, 10(25%) were unruptured and 4(10%) were chronic ectopic pregnancies. 39 cases were managed by laparotomy and one patient by conservative method using methotrexate. Most common risk factor noted in our study was history of tubal sterilization, noted among 12(30%) women. No mortality was noted in our study.

Conclusions: Ectopic pregnancy is a significant cause of morbidity and mortality in first trimester. High degree of suspicion and early detection can prevent a great degree of morbidity among women, especially in women with prior tubal sterilization procedure.

References

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

Panti A, Ikechukwu NE, lukmanOO, YakubuA, Egondu SC, Tanko BA. Ectopic pregnancy at UsmanuDanfodiyo University Teaching Hospital Sokoto: a ten year review. Ann Niger Med. 2012;6(2):87-91.

Abdul FI. Ectopic pregnancy in Ilorin: a review of 278 cases. Niger J Med. 2000;9(3):92-6.

Gharoro EP, Igbafe AA. Ectopic pregnancy revisited in Benin City, Nigeria:analysis of 152 cases. ActaObstetGynecol Scand. 2002;81(12):1139-43.

Walker JJ. Ectopic pregnancy. Clin Obstet Gynecol. 2007;50:89-99.

Shetty S, Shetty A. A Clinical study of ectopic pregnancies in tertiary care hospital of Mangalore, India. Innovative Journal of Medical and Health Science. 2014;4(1).

Wan S, Xiang Y, Fang W, Huang D. The effect of methotrexate in combination with mifepristone on ectopic pregnancy: a meta-analysis. Int J Clin Exp Med. 2016;9(8):14990-5003.

Hurrell A, Reeba O, Funlayo O. recurrent ectopic pregnancy as a unique clinical subgroup: a case control study. SpringerPlus. 2016;5910:1.

Hachem LeEI, Stein DE, Keltz MDM, Lederman MA Ovarian Heterotropic Pregnancy after Ovulation Induction with Clomiphene Citrate. Gynaecol Obstrtric. 2011;1;107

O.Speigelberg, “ZurCasuistik der ovarialschwanger schaft”, Archiv fur Gynakologie. 1878;13(1)73-79,1878.

B Mohamed, A Radhouane , G Nizar, M Lotfi, R Rashouane. A Ruptured Cornual Ectopic Pregnancy At 18 weeks’ Gestation: A Case Report. The Internet Journal of Gynecology and Obstetrics. 2012;16:3.

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Published

2017-03-30

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Section

Original Research Articles