Risk factors and management of ectopic pregnancy
Keywords:Ectopic pregnancy, Maternal deaths, Salphingectomy
Background: One of the critical and commonest acute abdominal emergencies which a gynaecologist has to manage in day to day practise is ectopic pregnancy. The present study is compilation to know the risk factors and different modalities of medical and surgical management of patients with ectopic pregnancy.
Methods: All patients diagnosed of Ectopic pregnancy at Basaveshwar teaching and general hospital and Sangameshwar teaching and general hospital attached to Mahadevappa Rampure Medical College were part of the study, over a period of two years (August 2014 to July 2016). It was a prospective study with pivot tables, graphs and chi square test.
Results: In a span of 2 years 50 cases were studied. Maximum age incidence was 21-25 years. Greater incidence was seen in primigravida accounting for 28%. Most patients presented with pain in abdomen (50 cases). Risk factors included previous abortion, contraception history, sterilization history and pelvic surgery. 47 cases underwent laparotomy and 3 cases were managed medically. 66% had tubal rupture and the most common site was ampulla. Post-operative period was uneventful in majority of cases.
Conclusions: With the increasing incidence of ectopic pregnancy, screening of high risk cases, early diagnosis and early intervention are required to prevent the maternal deaths and conservation of reproductive health.
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