Online ISSN: 2515-8260

Keywords : Amenorrhea

A clinical analysis of ectopic pregnancies at tertiary health care hospital

Preetha F Nayakar, Ashwini Veeresh, Ambika HE, Prashanth S, Manjula B

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 999-1004

Background: Ectopic pregnancy (EP) is one of the life-intimidating emergencies in pregnancy leading to maternal morbidity and mortality. Early diagnosis of ectopic pregnancy presents a challenging problem and is considered an emergency as it shows high mortality risk and it’s early detection and management are necessary to prevent maternal mortality and morbidity.
Aim and Objectives: To evaluate the cases of ectopic pregnancy at a tertiary health care center and to determine the incidence, risk factors, clinical presentation, management, and morbidity associated with ectopic pregnancy.
Methodology: We conducted a prospective study on 37 patients with ectopic pregnancies at Shivamogga Institute of Medical Sciences a tertiary care center from August 2020 to August 2021. The primary outcome measures studied were the incidence of ectopic pregnancy, their risk factors, mortality and morbidity in those pregnant women.
Results and Discussion: The incidence of ectopic pregnancy in this study is 0.49%. The common age and parity affected were 26-30 years (59%) and para 1 (46%). The most common risk factors were previous LSCS (49%) followed by abdominal tubectomy, laparoscopic tubectomy and recanalization. The ampulla region (59.5%) was the most common site of ectopic pregnancy. Majority of cases presented with a ruptured ectopic (70.27%) and unruptured accounted for -29.72%. In our study Salpingectomy (78.37%) was the common surgical procedure performed. Around 83.77% of women received a blood transfusion. No maternal mortality occurred during this period due to ectopic pregnancy.
Conclusion: Ectopic pregnancy is a life-threatening condition occurring in women. Worldwide the incidence of ectopic pregnancy is increasing, which will increase maternal morbidity, mortality, and fertility. Early diagnosis and management will reduce the risk of maternal morbidity and mortality due to ectopic pregnancy.