Title: A Retrospective Study of Ectopic Pregnancy in a Teritary Care Hospital
Authors: N.Spandana, S.M.Togarikar, Deepa Polepaka
DOI: http://dx.doi.org/10.18535/jmscr/v4i4.07
Abstract
Background: A ruptured ectopic pregnancy is a true emergency and remains the leading cause of pregnancy related first trimester deaths. The objective was to study the clinical profile of ectopic pregnancy in a tertiary care hospital.
Methods: It was a retrospective study conducted at M.N.R Medical College & Hospital, Sangareddy from 1st September 2013 to 31st August 2015. A total of 21 patients with ectopic pregnancy were analysed on clinical presentation, clinical findings, investigations, operative findings and outcome.
Results: A majority of women (66.67%) were in the age group of 25-30 years and 80.95% were multigravida. Risk factors were identifiable in 76.19% patients. Amenorrhea (90.48%) and pain abdomen (95.24%) were the most common presenting symptoms. 15 (71.43%) underwent an exploratory laparotomy, two (9.5%) women had laparoscopy and 4 (19%) women received medical management. There were no maternal deaths and post-operative morbidity in the form of febrile illness (9.52%), and wound sepsis (4.76%) was seen.
Conclusions: Ectopic pregnancy still remains one of the major causes of maternal morbidity and mortality. Early diagnosis and referral in hemodynamically stable state along with use of minimal access surgery or medical management can change the scenario of ectopic pregnancy in the developing world.
Keywords- Ectopic, Pregnancy, Amenorrhoea, Emergency, laporotomy.
References
1. Okunlola MA, Adenine OA, Adekunle AO. Repeat ipsilateral ectopic gestation – a series of three cases. African J Medicine and Med Science 2006;35:173-5.
2. Pendyala Sujata, Basanta Kumar Patti, Gangadhar Sahoo et al. Ectopic pregnancy – A Five Year Review. Indian Journal of Perinatology and Reproductive Biology. 2014;04(02):21-4.
3. Yakasai IA, Abdullahi J, Abubakar IS. Management of ectopic pregnancy in Aminu Kano teaching hospital Kano Nigeria: A 3 year. Global Advanced Research Journal of Medicine and Medical Sciences. August 2012;1(7):181-5.
4. Farquhar CM. Ectopic pregnancy. Lancet 2005;366:583-91.
5. AO Igwegbe,Gu Eleje, BC olcpola.An appraisal of the management of ectopic pregnancy in a Nigerian teritary Hospital,Ann Med Health sciences Res.2013; 3(2);166-70.
6. Maifa Abdulaziz Al Turki, ISRN obstetrics and Gynaecology volume 2013(2013), http//dx.doi.org/10.1155/2013/9725/
7. Dutta DC/Haemorrhage in early pregnancy. In: koner H, editor. Textbook of Obstetrics. Revised print of 7th edition : Nov.2013; 177-190.
8. Bouyer J,Coste J,shojae T,PoyL JL, Fernandez H,Gerband L et al.Risk factors for EP: A Comprehensive analysis based on a large case control population based studies inFrance.Amj large epidemiol, 2003;157:185-94.
9. Shaista a,Bothaina AW, Hussain AS. Frequency of EP in a medical centre, kingdom of Saudi arabia. JPMA 2011,61:221.
10. Chakraborty S,Mukherjee S,Roy J.EP- a study in a teritary care centre . Ind J Perinat & Reprod Bio/2011, 1(3):35-7.
11. Patrick T,Yolande H,N athalie G et al. Risk factors for EP in Conakry, Guniea.Bull world health organ 2002; 80(5): 365-70.
12. Rose IA, Ayodrji O,Sylvia A et al. Risk factors for EP in Lagos, Nigeria. Acta obstet. Gynecol. Scand.2005;84;184-8.
13. Olofsson JI, Poromaa IS,Ottander U, Kjellberg L, Damber MG. Clinical and pregnancy outcome following EP; a prospective study comparing expectancy, surgery and systemic methotrexate treatment. Acta Obstet Gynaecol scand 2001; 80(8) : 744-9.