DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20173471

Clinical study of ectopic pregnancy

Meenakshi T. Chate, Bhagyashree Chate, Kranti Chate

Abstract


Background: Ectopic pregnancy is pregnancy that develops following implantation anywhere other than the endometrial cavity of uterus. Objective of present study was to investigate the risk factors, clinical presentation and sites of ectopic pregnancy along with management and assessment of risk of maternal mortality and morbidity.

Methods: The study was undertaken at Dr. Shankar Rao Chavhan Government Medical College and Guru Govind singhji hospital, Nanded between December 2012 and May 2014 after obtaining clearance from the Hospital Ethical Committee.

Results: Maximum incidence of tubal gestation occurred between the age group of 21-25 years. Greater incidence was noted in multiparous woman. Tubectomy was the most common risk factor seen in 23.65% cases. The most common symptom observed is abdominal pain seen in 92.47% cases. The most common site of ectopic was ampulla seen in 51.61% cases. The most common mode of presentation was rupture seen in 71 cases about 76.35% cases. Unilateral salpingectomy was done in 70 cases about 75.26% cases.

Conclusions: Since ectopic pregnancy remains a gynecological catastrophe in countries and a major challenge to the reproductive performance of women worldwide, it should be considered a relevant public health issue. With its rising incidence, which is likely to continue increasing because of the various factors discussed, it is necessary to devise means of early detection and treatment.


Keywords


Ectopic pregnancy, UPT (Urine pregnancy test)

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References


TeLinde. Operative Gynecology. 10th Ed. Lippincott - Raven, Philadelphia;1997:798.

Anon. Ectopic pregnancies: United states 1990-92. Morb Mortal Wkly Rep. 1995;44:46-8.

Shetty VH, Some Gowda LM. Role of ultrasonography in diagnosis of ectopic pregnancy with clinical analysis and management in tertiary care hospital. J Obstet Gynaecol India. 2014;64(5):354.

Arora R, Rathore AM, Habeebullah S, Oumachigui A. Ectopic pregnancy changing trends. JIMA.1998;96:53-7.

5Panchal D, Vaishnav G, Solanki K. Study of Management in Patient with Ectopic Pregnancy. NJIRM. 2011;2(3):91-4.

Shetty S, Shetty A. A clinical study of ectopic pregnancies in a tertiary care hospital of mangalore, India. Innov J Med Health Sci. 2014;4(1)305-9.

Gaddagi RA, Chandrashekhar AP. A clinical study of ectopic pregnancy. J Clin Diag Res. 2012;6:867-9.

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. J Pharm Biomed Sci. 2012;16(07):1-3.

Khaleeque F, Siddiqui RI, Jafarey SN. Ectopic pregnancies: a three year study. J Pak Med Assoc. 2001;51:240-3.