Review of ectopic pregnancy at tertiary care center: 2 years analysis

Suman S. Sharma, Ashish V. Gokhale, Shonali Agarwal, Dimpi Modi, Kajal Gedia


Background: Ectopic pregnancy is defined as any intra or extra-uterine pregnancy in which the fertilized ovum implants at an aberrant site which is inconducive to its growth and development. It is a catastrophic and life-threatening condition and one of the commonest acute abdominal emergencies affecting approximately 2% of all pregnancies. The purpose of this study is to review cases of ectopic pregnancy and determine: incidence, high risk factors, types of clinical presentation, diagnostic methods, management, morbidity and mortality.

Methods: The present study, conducted over a period of 2-year, total number of deliveries was 16,144 and total number of ectopic pregnancies was 116. More than half of the cases (56.04%) had one or the other identifiable risk factor. Results: Amongst the various risk factors studied, history of previous pelvic surgery (15.43%), history of Pelvic inflammatory disease (PID) (12.9%), use of Intrauterine contraceptive device (IUCD) (10.3%) and either spontaneous or induced abortion (7.76%) has been found. History of self-administered medical termination of pregnancy (MTP) pill was present in 3.45%. Repeat ectopic pregnancies were seen in 1.72%. There was no identifiable risk factor in 49.63% of cases.

Conclusion: Ectopic pregnancy is a major challenge in obstetrical practice because of its varied clinical presentation. It can be diagnosed early by keeping a high index of suspicion. Undue delay in referral reduces significant morbidity and improves the chances of preserving future fertility. Mass education regarding safe abortion practices and post abortal care should be promoted. Unsupervised usage of MTP pill intake should be condemned.



Ectopic, Medical management, Risk factors, Tubal disease

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Walker JJ. Ectopic pregnancy. Clinical Obstetrics Gynecology. 2007;50(1):89-99.

Varma, R., and Gupta, J. Tubal ectopic pregnancy. BMJ clinical evidence. 2012;2012:1406.

Varma R, Gupta J. Tubal ectopic pregnancy. BMJ Clinical Evidence. 2009;2009:1406.

Strandell A, Thorburn J, and Hamberger, L. Risk factors for ectopic pregnancy in assisted reproduction. Fertility and sterility. 1999;71(2),282-286.

Perlman B E, Guerrero K, Karsalia R, and Heller DS. Reproductive outcomes following a ruptured ectopic pregnancy. The European Journal of Contraception & Reproductive Health Care. 2020;25(3):.206-208.

Sharma R, Biligi DS. A study of histopathological changes in fallopian tubes in ectopic pregnancy. International Journal of Current Research and Review. 2015;7(16):54.

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.

Bouyer J, Saurel-Cubizolles MJ, Grenier C, Aussel L, and Job-Spira N. Ectopic pregnancy and occupational exposure of hospital personnel. Scandinavian journal of work, environment & health. 1998;24(2):98-103.

Vyas PS and Vaidya P. Epidemiology, Diagnosis and Management of Ectopic pregnancy. Research Articles. 1998;1-11.

Panchal DD, Vaishnav DG, Solanki DK. Study of Management in Patient with Ectopic Pregnancy. National Journal of Integrated Research in Medicine. 2011;2(3);2:3.