Clinical Analysis of Ectopic Pregnancy in a Tertiary Care Hospitals

Abstract

OBJECTIVE: To determine Clinical presentation and risk factors of Ectopic pregnancy to highlight and drawing attention for early diagnosis and prompt management.
METHODOLOGY: This retrospective study was conducted in Department of Gynecology and Obstetrics at Liaquat University Hospital Hyderabad from January 2018 to December 2018. During one year of study period, 25 cases of ectopic pregnancies were enrolled in the study. In all cases age, parity, gestational
age, risk factors, signs and symptoms, site of ectopic pregnancy and surgical intervention were noted on Performa and data was analyzed, results depicted in charts and tables.
RESULTS: Most patients aged between 20-30 years with gestational age of 2 months, in parity 08 were primigravida, 06 were gravida 1, 05 were gravida 2, 03 in each gravida 3 and 4. One patient had a history of miscarriage, 02 underwent infertility treatment, 03 had previous ectopic pregnancy, 02 patients with
previous cesarean section, while 08 patients given the history of pelvic inflammatory diseases. Six patients were diagnosed clinically while 15 cases through abdominal ultrasound and 4 through transvaginal ultrasound. Amenorrhea was present in 22 patients, vaginal bleeding in 20 cases and lower abdominal pain in 18 cases, while 08 patients presented in shock.
CONCLUSION: Early diagnosis prevents complications such as rupture of ectopic pregnancy, which end up with excision of fallopian tube or ovary badly affecting fertility.