Title: Ectopic Pregnancy: An Analysis of 32 Cases

Authors: Smita Rai, Sudha Verma

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i11.109

Abstract

Introduction: Ectopic pregnancy is one of the life threatening emergencies in first trimester of pregnancy. It is a condition where blastocyst is implanted at sites other than uterine cavity.

Material and Methods: An analysis of 32 cases of ectopic pregnancy presenting over a period of one year was done at our institution. History including significant past medical and surgical history along with examination details were noted. Treatment given in form of medical and surgical treatment with exploratory findings was recorded.

Observations and Results: The incidence of ectopic in the study was 3.805 per 1000 deliveries. Three-fourth of our patients belonged to age group 21 to 30 years. Most of the patients i.e. 62.5% were diagnosed as ruptured ectopic and 56.25% had identifiable risk factors like previous D&C for abortion, PID and infertility. The diagnosis of ectopic pregnancy was made by history and clinical examination, urine pregnancy test, USG, abdominal tap etc. as per clinical findings. Out of 32 cases only one was subjected to medical treatment, rest all were managed surgically with 35.48% patients undergoing conservative surgery.

Keywords: Ectopic Pregnancy, salpingectomy, salpingostomy.

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