A clinical Study of Ectopic Pregnancies in a Tertiary care hospital of Mangalore, India

Shetty , Shraddha K and Shetty , Anil K (2014) A clinical Study of Ectopic Pregnancies in a Tertiary care hospital of Mangalore, India. Innovative Journal of Medical and Health Science, 4 (1). pp. 305-309. ISSN 2277-4939

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Abstract

Background: Ectopic pregnancy is a common life-threatening condition. Diagnosis is frequently missed and should be considered in any woman in the reproductive age group presenting with abdominal pain or vaginal bleeding.Aims: To determine the incidence, clinical presentation, risk factors, treatment and morbidity and mortality associated with ectopic pregnancy.Material and Methods: Retrospective analysis of case histories of patients admitted with ectopic pregnancy at Government Lady Goshen Hospital, Mangalore was done. The following parameters: age, parity, gestational age, risk factors, clinical presentation, need for blood transfusion and findings on ultra-sonogram and at surgery and morbidity associated with ectopic pregnancy were noted.Results: A total of 31 cases of ectopic pregnancy were operated giving the incidence of ectopic pregnancy of 5.6/1000 deliveries. The commonest risk factors present were history of abortion (29 %), history of tubal surgery (9.6%), infertility (3.2%) and pelvic inflammatory diseases (3.2%).The commonest symptoms were abdominal pain (80.6%), amenorrhea (77.4%) and abnormal vaginal bleeding (61.3%); and commonest signs were abdominal tenderness (64.5%), cervical excitation (51.6%) and adnexal tenderness (48.4%). Surgery by open method in the form of salpingectomy (90.3%), salpingo-oophorectomy (6.5%) and salpingostomy (3.2%) were the mainstay of management. Morbidity included anemia (41.9%), blood transfusion (54.8%) and wound infection (32.2%). No maternal mortality noted.Conclusion: Early diagnosis, identifying of underlying risk factors and timely intervention in the form of conservative or surgical treatment will help in reducing the morbidity and mortality associated with ectopic pregnancy.

Item Type: Article
Uncontrolled Keywords: amenorrhea, hemoperitoneum, ruptured ectopic, salpingectomy, vaginal bleeding
Subjects: Medicine > KMC Mangalore > Obstetrics & Gynaecology
Depositing User: KMCMLR User
Date Deposited: 07 Feb 2014 07:32
Last Modified: 07 Feb 2014 07:32
URI: http://eprints.manipal.edu/id/eprint/138697

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