Study of ectopic pregnancy in a tertiary care centre


  • Nitesh Meena Department of Obstetrics and Gynecology, Jhalawar Medical College, Jhalawar, Rajasthan, India
  • Radheshyam Bairwa Department of Obstetrics and Gynecology, Jhalawar Medical College, Jhalawar, Rajasthan, India
  • Savitri Sharma Department of Obstetrics and Gynecology, Jhalawar Medical College, Jhalawar, Rajasthan, India



Ampulla, Ectopic, Emergency, Laparotomy, Pain in abdomen, Pregnancy


Background: Ectopic pregnancy is an obstetric emergency with high morbidity and mortality. Incidence of ectopic pregnancies has been increasing in last two to three decades with reduction in mortality. The presenting symptoms include irregular vaginal bleeding. The present study was undertaken to study the clinical features of ectopic pregnancies in a tertiary care hospital.

Methods: The present study on ectopic pregnancies was carried out in department of obstetrics and gynaecology, jhalawar medical college, Jhalawar, Rajasthan, India from January 2019 to October 2019. All patients admitted with diagnosis of ectopic pregnancy, either ruptured or unruptured where included in the study.

Results: Total 52 patient of ectopic pregnancy were studies. Majority (63.46%) of patients belong to the age group 21-30 years. Ectopic pregnancy was most commonly noted in nulliparous woman (44.23%) Majority of the case (31%) had no risk factors among remaining (34.61%), previous MTP (17%), (17-30%) previous ectopic (9%) and PID (15-38%) were identified risk factors. Ampulla (75%) was the most common site for ectopic pregnancy. 57% of the cases were on the right side. The common presenting complaints were pain in abdomen (81%) bleeding/ spotting per vaginal (42%). There was no mortality.

Conclusions: Surgical treatment was done more often because of patients reporting late to the hospital screening of high-risk case, early diagnosis and early intervention reduce the morbidity and mortality in ectopic pregnancies.


Kumar P, Malhotra N. Ectopic pregnancy. Jefcoat’s principles. Obstet Gynecol. 2008:142-59.

Mahheob U, Masher SH. Management of ectopic pregnancy, a two-year study. Ayub Meb Coll Abbotthad. 2006;18(4):34-7.

Jurkvic D. Diagnosis and management of ectopic pregnancy. British Med J. 2011;342:3397.

Chatterjee S, Dey S, Chowdhury RG. Ectopic pregnancy in previously infertile women - subsequent perregnancy outcome after laparoscopic management. Al A meen J Med Sci. 2009;2(1):67-72.

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.

Berek S. Bereck and Novak's Gynecology, 15th Ed; 2012:628-630.

Kirk E, Bottomley C, Bourne T. Diagnosing ectopic pregnancy and current concepts in the management of pregnancy of unknown location. Hum Reprod. Update. 2014:20(2):250-61.

Zane SB, Kieke BA, Kendrick JS, Bruce C. Surveillance in a time of changing health care practices: estimating ectopic pregnancy incidence in the united states. Matern Child Health J. 2002;6:227.

Crochet JR, Bastian LA, Chireau MV. Does this woman have an ectopic pregnancy? The rational clinical examination systematic review. JAMA. 2013;309(16):1722-9.

Ankum VM, Mol BW, Van der veen F. Risk factors for ectopic pregnancy: a meta-analysis. Fertil Steril. 1996;65:1093-9.

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

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

Arup KM, Niloptal R, Kakali SK. Pradip KB. Ectopic pregnancy an analysis of 180 cases. J Indian Med Assoc. 2007;105:308-14.

Poonam Y, Prety D, Banerjee B. Ectopic pregnancy - two years review from BPKIHS, Nepal. Kathmandu University Med J. 2005;3:365-9.

Shaikh NB, Shaikh S, Shaikh F. A clinical study of ectopic pregnancy. J Ayub Med Coll Abbottabad. 2014;26(2):178-81.

Hassan N, Zaheen Z, Jatoi N. Risk factors, clinical presentation and management of 62 cases of ectopic pregnancy at tertiary care centre. JLUMHS. 2009;8(3):238-41.

Igwegbe 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.

Asuri SS, Kalpana P. A clinical study of ectopic pregnancy. Int J Reprod Contracept Obstet Gynecol. 2016;5(11):3750-3.

Yadav A, Prakash A, Sharma C, Pegu B, Saha MK. Trends of ectopic pregnancies in Andaman and Nicobar Islands. Int J Reprod Contracept Obstet Gynecol. 2017;6:15-9.

Priyadarshini B, Padmasri, Jnaneshwari TL, Sowmya KP, Bhatara U, Hema V. Ectopic pregnancy: a cause for maternal morbidity. Int J Reprod Contracept Obstet Gynecol. 2017;5(3):700-4.

Saha PK, Gupta P, Goel P, Sehgal A, Huria A, Kataria S, et al. Ectopic Pregnancy: a diagnostic dilemma Int. J Reprod Contracept Obstet Gynecol. 2016;5(2):367-70.

Jophy R, Thomas A, Mhaskar A. Ectopic Pregnancy 5 years' experience. J Obst Gyn India. 2002;52(4):55-8.






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