DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20160675

Ectopic pregnancy in a tertiary care center: a retrospective study

Chaitra Shivananjaiah, Ashwini Nayak U., Kamya Ramesh Swaminathan, Asha Swarup, Suneha Pocha, Davis Sabu Pathadan

Abstract


Background: Ectopic pregnancy is an obstetric emergency which if not diagnosed in time can cost the life of the patient. This emphasizes the importance of diagnosing this perilous condition and hence this study was undertaken to study symptoms with which the patients with ectopic pregnancy present.

Methods: Retrospective study of 5 years was done in the department of Obstetrics and Gynecology, M. S. Ramaiah medical college and teaching hospital, Bangalore, India between January 2011 to January 2016. Detailed analysis of patients with ectopic pregnancy inclusive of the age and clinical features were studied.

Results: A total of 90 patients with ectopic pregnancy were studied. 95.5% of the patients (n=86) presented with abdominal pain, 81.1% (n=73) of the patients presented with amenorrhea, 24.4% (n=22) patients presented with bleeding per vagina, 30% (n=27) patients with nausea, vomiting and 48.8% (n=44) presented with fainting and giddiness.

Conclusions: It is very essential to study the symptoms of ectopic pregnancy as this may help in early detection of ectopic pregnancy and hence can reduce the mortality in this catastrophic condition.


Keywords


Ectopic, Emergency, Pregnancy, Life threatening

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References


Kumar P, Malhotra N. Ectopic pregnancy. Jefcoat’s principles of Gynecology. 2008;142-59.

Department of Health. Why mothers die: a confidential enquiry into the maternal deaths in the United Kingdom. In Drife J, Lewis G (eds): Norwich, UK:HMSO. 2001;282.

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.

Chow WH, Daling JR, Cates W. Epidemiology of ectopic pregnancy. Epidemiol Rev. 1987;9:70-94.

Coste J, Job-Spira N, Fernandez H. Risk factors for ectopic pregnancy: a case-control study in France, with special focus on infectious factors. Am J Epidemiol. 1991;133:839-49.

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

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.

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

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

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.

Perveen F, Tayyab S. Ruptured ectopic pregnancy: clinical presentation & management. J Surg Pak. 2007;12(2):47-51.

Mishra S, Chaudhary V, Kaul Rajesh et al. Analysis of 62 cases of ectopic pregnancies in a rural medical college set up at Nalgonda Telangana, India. Int J Sci Study. 2015;3(6):103-6.

Shivakumar 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.

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.