A retrospective study on ectopic pregnancy at tertiary care hospital: a two-year study


  • Sonal Agrawal Department of Obstetrics and Gynecology, Jhalawar Medical College, Jhalawar, Rajasthan, India
  • Vimal K. Agarwal Department of Surgery, Balaji Hospital, Jhalawar, Rajasthan, India




Ectopic pregnancy, Implantation, Tubal rupture


Background: Over the last few decades, the incidence of ectopic pregnancy has increased almost to extent of an epidemic disease. The rate of ectopic pregnancy has increased from 0.5% in 1970 to 2% today. The aim of this study was to determine incidence, clinical presentation, risk factor, treatment, morbidity and mortality associated with ectopic pregnancy.

Methods: The present retrospective study was conducted over a period of 2 year in department of obstetrics and gynaecology, JMCH, Jhalawar from Jan 2015 to Dec 2017. A total of 64 patients with ectopic pregnancy were analyzed.

Results: Total 64 cases of ectopic pregnancy were admitted in this duration and total no. deliveries in these 2 year was 18176. So, incidence of ectopic pregnancy at our institute is 0.35%. Most common presenting complain was pain abdomen (in 93.75%) cases. Classical triad of pain, amenorrhea and bleeding was present in 48.3% cases.

Conclusions: Early diagnosis and timely intervention in the form of medical treatment or conservative surgery not only reduces maternal morbidity but also preserves future fertility.


Cunningham F, Leveno K, Bloom S, Hauth J, Rouse D, Spong C. Williams Obstetrics 23rd Edition McGraw Hill. New York. 2010:2010.

Turner C, Horner P. British Fertility Society Guidelines for practice. Hum Fertil (Camb). 2010;13(3):115-25.

Barnhart KT, Clinical practice, Ectopic pregnancy, N Engl J Med. 2009;361(4):379-87.

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

Shah P, Shah S, Kutty RV, Modi D. Changing epidemiology of maternal mortality in rural India: time to reset strategies for MDG-5. Trop Med Int Health. 2014;19(5):568-75.

Yadav K, Namdeo A, bhargava M. a retrospective and prospective study of maternal mortality in a rural tertiary care hospital of Central India. Indian J Comm Health. 2013;25(1):16-21.

Rakhi MP, Nupur H, Agarwal A, Makkar P, Fatima A. Ectopic pregnancy: a devastating catastrophe. SCH J App Med Sci. 2014;2(3A):903-7.

Gupta BK, Pathania BK, Jindal M, Vohra R, Ahmed M. Risk Factors for ectopic pregnancy, a case control study in tertiary care centre, journal of Dental and Med Sc. 2014;13(3):23-7.

Shagufta SM, Samina M, Reyaz AR, Wasiqa K. Ectopic pregnancy, an analysis of 114 cases. JK-Pract. 2012;17(4):20-3.

Panchal D, Vaishanav G, Solanki K. Study of Management in patient with ectopic pregnancy. Nat J Integ Res Med. 2011;2(3):91-4.

Igwegwe AO, Eleje GU, okpala BC. An appraisal of the management of ectopic pregnancy in a Nigerian tertiary hospital. Ann Med Health Sci Res.2013;3(2):166-70.

Shivkumar HC, Umashankar KM, Ramaraju HE. Analysis of forty cases of ectopic pregnancies in tertiary care hospital in South India. Indian J Basic Appl Med Res.2013;3(1):235-41.

Shah n, khan NH, ectopic pregnancy: presentation and risk factors. J Coll Physicians Surg Pak 2005;15(9):535-8.

Gaddagi RA, Chandrashekhar AP. A clinical study of Ectopic Pregnancy. J Clinic Diag Res. 2012;6(5):867-9.

Maymon R, Shulman A, Maymon B, Bar-levy F, Lotan M, Bahary C. Ectopic pregnancy, the new gynaecological epidemic disease: review of the modern work up and the non-surgical treatment option. Int J fertile. 1992:37(3):146-64.

Majhi AK, Roy N, Karmakar KS, Banarjee PK. Ectopic pregnancy: an analysis of 180 cases. J Indian Med Assoc. 2007;105(6):308-10.






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