DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20172925

Trends in ectopic pregnancy: a retrospective clinical study of 79 cases

Sindhura M., Sailatha R., Famida A. M., Vijayalakshmi K., Sathiya S., Renuka S.

Abstract


Background: To know the age group, parity, risk factors, clinical features, modalities of treatment employed and their efficacies, morbidity and mortality associated with ectopic pregnancy.

Methods: This is a retrospective study conducted in the department of Obstetrics and Gynaecology at Chettinad Hospital and Research Institute; Chennai over a period of 3 years from January 2014 to December 2016. A total number of 79 cases of ectopic pregnancies were reported during this period. Data were collected, tabulated and analyzed.

Results: 79 cases were diagnosed as ectopic pregnancies during the study period giving an incidence of 3.49%. Incidence of cases was maximum in women between the age group of 26-30 years (40.50%), in multiparous women (72.15%) and also in women of gestational age between 6 to 10 weeks (81.01%).72% of the cases had one or more identifiable risk factors. Ruptured ectopic was observed in 45 (56.96%)cases while unruptured in 31 (39.24%) cases. Tubal abortion was found in 3 (3.74%) cases. 2.53% cases were expectantly managed. 34.17% cases were medically managed. 63.29% cases were managed surgically. Morbidity due to ectopic pregnancy included anaemia, wound infection, SICU admission. No mortality observed.

Conclusions: A high index of suspicion is needed in the diagnosis of ectopic pregnancy especially in women with high risk factors to arrive at early diagnosis, followed with conservative management, thus reducing the morbidity. We can reduce the incidence of ectopic pregnancy by awareness on safe sexual practices and contraception. The lady’s future fertility can be improved by focusing on prevention, early diagnosis and conservative management of ectopic pregnancy.


Keywords


Ectopic pregnancy, Haemoperitoneum, Methotrexate, Salpingectomy

Full Text:

PDF

References


Howard W, John A. Rock, Ectopic pregnancy. Telinde’s Operative Gynaecology. 11th ed. Philadelphia, Lippincott Williams and Wilkins; 2015:798.

Mahboob U, Mazhar SB. Management of ectopic pregnancy: a two-year study. J Ayub Med Coll Abbottabad. 2006;18(4):34-7.

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

Chaturvedi S. Trends of ecotopic pregnancy in the state–an institutional based retrospective study. J Adv Med Dental Sci Res. 2016;4(6).

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

Timmerman D. Predictive models for the early diagnosis of ectopic pregnancy. Verhandelingen-Koninklijke Academie voor Geneeskunde van Belgie. 2003;66(2):155-71.

Barnhart KT. Ectopic pregnancy. N Engl J Medicine. 2009;361(4):379-87.

Wakankar R, Kedar K. Ectopic Pregnancy-A rising Trend. Int J Sci Stud. 2015;3(5):18-22.

Khaleeque F, Siddiqui RI, Jafarey SN. Ectopic pregnancies: a three-year study. JPMA. 2001;51(7):240-3.

Yeasmin MS, Uddin MJ, Hasan E. A Clinical Study of Ectopic Pregnancies in a Tertiary Care Hospital of Chittagong, Bangladesh. Chattagram Maa-O-Shishu Hospital Med College J. 2014;13(3):1-4.

Hoover KW, Tao G, Kent CK. Trends in the diagnosis and treatment of ectopic pregnancy in the United States. Obstetrs Gynecol. 2010;115(3):495-502.

Khan B, Deeba F, Khan WA. year review of 255 cases of ectopic pregnancy. J Androl Gynecol. 2013;1(2):4.

Prasanna B, Jhansi CB, Swathi K, Shaik MV. A study on risk factors and clinical presentation of ectopic pregnancy in women attending a tertiary care centre. IAIM. 2016;3(1):90-6.

Shetty S, Shetty A. A clinical Study of Ectopic Pregnancies in a Tertiary care hospital of Mangalore, India. Innovative J Medic Heal Sci. 2014;4(1).

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. Journal of Pharmaceutical and Biomedical Sciences (JPBMS). 2012;16(16):16.

Gaddagi RA, Chandrashekhar AP. A clinical study of ectopic pregnancy. J Clin Diagn Res. 2012;6(5):867.

Warren CW, Gwinn ML, Rubin GL. Seasonal variation in conception and various pregnancy outcomes. Social biology. 1986;33(1-2):116-26.

Chow WH, Daling JR, Cates W, Greenberg RS. Epidemiology of ectopic pregnancy. Epidemiologic reviews. 1987;9(1):70-94.

Ludwig M, Kaisi M, Bauer O,Diedrick K.Heterotropic pregnancy in a spontaneous in a spontaneous cycle : do not forget about it! Eur J Obstet Gynecol Reprod Biol. 1999;87(1):91-93.

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.

Sanam Moradan MD, Family M. A Hospital based analysis of 71 cases of ectopic pregnancies, Risk factors and management. Retrospective Observational Study. SEAJCRR. 2014;3(6):1054-59.

Abbas A, Akram H. Ectopic pregnancy; audit at maula bakhsh teaching hospital Sargodha. Professional Med J. 2011;18(1):24-27.