European Journal of Molecular & Clinical Medicine

Abstract

Background: Ectopic pregnancy (EP) is a life threatening emergency commonly being
managed by primary care physicians where diagnosis is often being missed at the first
contact.
Objectives: To study the etiological factors, clinical presentation and maternal outcome of
cases of ectopic pregnancy.
Materials and Methods: This cross-sectional study was done among 50 confirmed cases of
ectopic pregnancy at department of obstetrics & Gynecology in Government Medical College
and Hospital, Latur, Maharashtra during October 2013 to September 2015. Data collection
was done after ethical permission from institutional ethical committee and informed consent
of clients. Inclusion criteria: All confirmed cases of ectopic pregnancy Exclusion criteria: All
cases of intrauterine pregnancies.
Results: Highest number of participants (34%) belonged to 26-30 years age group and mean
age was 27 years. Maximum participants (70%) were multipara. Present study noted 16%
misdiagnosed cases of EP. Most common site of EP was noted at ampulla (68%). Tubectomy
was the most common risk factor (28%), ‘amenorrhea (80%)’ was the most common clinical
feature. Blood transfusion required in 78% cases and post-op wound infection in 12% cases.
Conclusion: The rising number of cases of EP poses a serious concern over maternal
mortality. With advances in the field of medicine, more young women are adopting newer
fertility control methods such as newer oral contraceptives, infrastructure contraceptive
devices and various tubal surgeries to limit their families. Moreover, newer drugs for
ovulation induction and tubal reconstructive surgeries have led to delayed conception with
increased risk of EP.