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A Clinical Study of Ectopic Pregnancy

Sreelatha B, Satyaprabha S and Prasanna K

Background: Ectopic pregnancy is not an uncommon condition and is potentially a life-threatening emergency. There is a rising trend in incidence which necessitates the gynecologists to have comprehensive knowledge about the disease.

Aim of the study: To determine the incidence, risk factors, clinical features and management.

Materials and Methods: This study is conducted in Department of Obstetrics and Gynecology of PIMS, Karimnagar. It is a retrospective descriptive study on patients who presented to our department with clinical features of ectopic pregnancy and later confirmed with intraoperative findings or ultrasound, in the 3-year period from January 2017 to January 2020.

Results: A total of 34 patients were diagnosed to have ectopic pregnancy with an incidence of 1in 114 deliveries. The cause of ectopic pregnancy was dilatation and curettage in 11.8% and PID, infertility, prior tubal surgery, previous abortions and OCP usage each contributes by 5.9%. Surgical treatment with salpingectomy was done in majority of the cases and medical management in 3 patients. Blood transfusions were given in 38.2% of cases. Postoperative period is uneventful in all the cases.

Conclusion: Ectopic pregnancy is leading cause of maternal mortality in first trimester. In spite of advanced diagnostic techniques, it poses great diagnostic difficulties due to varied signs and symptoms. Previous tubal surgery pelvic inflammatory disease and infertility are the risk factors of tubal pregnancy.