Published: 2020-01-28

Ectopic pregnancy: an observational study in a tertiary care centre of Southern Rajasthan, India

Shrusti Parmar, Nalini Sharma, Vimla Dhakar


Background: One among the three chief obstetric causes of bleeding in first trimester, ectopic pregnancy is the first thing to rule out as a gestation is suspected. The present study observes and analyses sociodemographic distribution, risk factors, presentation, diagnosis and treatment modalities in a tertiary care centre.

Methods: An observational cross-sectional study, conducted among patients who were diagnosed and managed in department of obstetrics and gynaecology of a tertiary care centre. Data analyzed and explained as frequency, percentage, mean and standard deviation.

Results: Age group between 21 to 30 years (69.9%) and multigravida (68.5%) are high risk for ectopic pregnancy (EP). Menstrual history was regular in 86.3%. Risk factors identified were previous abortion (30%) and history of pelvic inflammatory disease (30%). In 80.9% pain in abdomen was presenting complaints followed by bleeding per vaginum (60%), amenorrhoea (60%) and nausea and vomiting (32.9%). Right salpingectomy was most common in 43.8%, followed by left salpingectomy in 28.8%, methotrexate in 15.1%, left salpingo-ophorectomy in 5.5%, right salpingo-opherectomy in 5.5% and removal of tubal abortion in 1.3% patients. Laparoscopy was chosen route in majority 64.4% patients.

Conclusions: Ectopic pregnancy - a gynecological catastrophe as well as a major challenge to the reproductive performance of women worldwide, should be considered a relevant public health issue. By providing adequate materials, manpower, well-equipped health facilities as well as a prompt and efficient referral system, good access roads and efficient transportation, will ensure early presentation in hospitals and prompt management of cases.


Blood transfusion, Ectopic pregnancy, Laparoscopy, Management, Risk factors

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Ectopic pregnancy in Conakry, Guinea. Bull World Health Organ. 2002;80:365-70.

Ectopic Pregnancy. National Health Portal India. April, 2017. Available at:

Jeffcoate's principles of Gynaecology. Narendra Malhotra Pratap Kumar. Seventh international edition. New Delhi: Jitendar P Vij, Jaypee Brothers Medical Publishers (P) Ltd.; 2008.

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

Shaw JT, Dry SK, Critchley Ho, Horne AW. Current knowledge of the aetiology of human tubal ectopic pregnancy. Human Report Update. 2010;16:32-44.

Udgiwe GO, Umeonihu OS, Mbuchu. Ectopic pregnancy: a 5-year review of cases at Nnamdi Azikiwe University Teaching Hospital (NAUTH) Nnewi. Niger Med. 2010;51:160-3.

Wakankar R, Kedar K. Ectopic pregnancy-rising trend at Indira Gandhi Government Medical College, Nagpur. Int J Sci Stud. 2015;3(5):18-22.

Shraddha Shetty K, Anil Shetty K. A clinical Study of Ectopic pregnancies in a tertiary care hospital of Mangalore, India: Inn J Med Health Sci. 2014;4(1):305-9.

Murugesan A, Prabhu KMM. A retrospective study of ectopic pregnancies in a tertiary care hospital. Int J Reprod Contracept Obstet Gynecol. 2016;5(8):2537- 40.

Costa J, Bouyer J, Ughetto S, Gerbaud L, Fernandez H, Pouly JL, et al. Ectopic pregnancy is again on the increase. Recent trends in the incidence of ectopic pregnancies in France (1992–2002). Human Repro. 2004;19(9):2014-8.

Gaddagi RA, Chandrashekhar AP. A clinical study of ectopic pregnancy. JCDR. 2012;6:867-9.

Panchal D, Vaishnav G, Solanki K. Study of management in patient with ectopic pregnancy. NJIRM. 2011;2(3):91-4.

Dayal N, Srivastava A. A retrospective study on ectopic pregnancy in a tertiary care hospital. IOSR J Dent Med Sci. 2019;18(4):11-4.

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.

Kumari S, Prasad D, Sinha A, Parween S. Retrospective study of ectopic pregnancy in tertiary care centre. IAIM. 2018;5(1):95-9.

Swami MB, Sharma P, Tyagi M, Kuswaha R, Harit J. Clinical study of ectopic pregnancy. J Evol Med Dent Sci. 2015;4(86):15057-62.

Chate MT. Clinical study of ectopic pregnancy: Int J Reprod Contracept Obstet Gynecol. 2017;6(8):3498- 501.

Kharat D, Giri PG, Fonseca M. A study of epidemiology of ectopic pregnancies in a tertiary care hospital of Mumbai, India.: Int J Reprod Contracept Obstet Gynecol. 2017;6(9):3942-6.

Yakasai IA, Abdullahi J, Abubakar IS. Management of ectopic pregnancy in Aminu Kano teaching hospital Kano Nigeria: A 3 year. Glob Adv Res J Med Med Sci. 2012;1:181-5.

Singh S, Pukale RS. Clinical study of ectopic pregnancy in a rural setup: a two-year survey. Natl J Med Res. 2014;4(1):37-9.