scholarly journals Clinical study of ectopic pregnancy at tertiary care center in Haryana, India

2019 ◽  
Vol 8 (7) ◽  
pp. 2816
Author(s):  
Sushila Chaudhary ◽  
Meenakshi B. Chauhan ◽  
Anjali Gupta ◽  
Monika Dalal
Keyword(s):  
Retrospective Study ◽  
Ectopic Pregnancy ◽  
Care Center ◽  
Tertiary Care ◽  
First Trimester ◽  
Sexual Practices ◽  
Care Hospital ◽  
Threatening Condition ◽  
Incidence Risk ◽  
Β Hcg

Background: Ectopic pregnancy is a life threatening condition in the first trimester of pregnancy. Diagnosis can be done by clinical examination, serum β-HCG and ultrasonography. This retrospective study was done to know the incidence, risk factors, and management of ectopic pregnancy.Methods: It was a retrospective study conducted on 75 patients of ectopic pregnancy admitted at tertiary care hospital in Haryana from February-2017 to January-2019. Data collected from record room and analysis done.Results: Total deliveries were conducted were 5064. The incidence of ectopic pregnancy was 1.48%, majority of the women were in the age group of 21-30 (68%), multi-parous (77.32%). The most common risk factor was abortion 33.33%, f/b tubal ligation was 13.13%, medical management of ectopic pregnancy done in 30.66%, 8% were managed by laproscopically and 58.66% by laparotomy.Conclusions: Safe sexual practices can reduce pelvic infections and ectopic pregnancy incidences. Early diagnosis before tubal rupture can reduce morbidity and mortality in ectopic pregnancy.

scholarly journals Study of Ectopic Pregnancy at Tertiary Care Hospital in Province 1 of Nepal

2021 ◽  
Vol 18 (4) ◽  
pp. 698-701
Author(s):  
Sita Pokhrel Ghimire
Keyword(s):  
Risk Factor ◽  
Ectopic Pregnancy ◽  
Clinical Presentation ◽  
Care Center ◽  
Tertiary Care ◽  
Care Hospital ◽  
Common Risk Factor ◽  
Medical College ◽  
Pain Abdomen ◽  
Incidence Risk

Background: Ectopic pregnancy can be managed expectantly, medically or surgically. Laparoscopic surgery is considered gold standard. The aim of this study was to find incidence, risk factors, clinical presentation and mode of management of ectopic pregnancy.Methods: Prospective descriptive study was conducted at Nobel Medical College and Teaching Hospital, Biratnagar. All the cases of diagnosed ectopic pregnancy were enrolled in the study. All the relevant data of the patients were recorded in pre-designed Performa. The collected data were entered in MS Excel and exported into SPSS 21 version for statistical analysis.Results: The incidence of ectopic pregnancy was 0.8%. Most of the patients (35 ;( 58.3%) belonged to 20-30 age group. The classic triad of pain abdomen, amenorrhea and per vaginal bleeding was present in 41 (68.3%) cases. The most common risk factor associated was PID (39 ;-( 65%) followed by abortion 98 ;-( 13.3%). USG findings were suggestive of ruptured ectopic pregnancy, which was seen in 52(86.7%) cases and. 93.3% of the cases were managed surgically. The most common site of ectopic pregnancy was found to be ampulla 35(58.3%) followed by isthmus 11(18.3%). There was no mortality.Conclusions: Pelvic inflammatory disease was the commonest risk factor, laparotomy was the commonest modality of surgical management and ampulla was the commonest site of ectopic pregnancy. Early diagnosis, referral and treatment in the tertiary care center prevents morbidity and mortality related to ectopic pregnancy.Keywords: Ectopic pregnancy; methotrexate; ultrasonography

scholarly journals A clinical study of trends of ectopic pregnancy and its management in a tertiary care hospital

2019 ◽  
Vol 8 (12) ◽  
pp. 4834
Author(s):  
Chandana M. Puttaraju ◽  
Nagothi Nagendra Prasad ◽  
M. P. A. Sailakshmi
Keyword(s):  
Risk Factors ◽  
Ectopic Pregnancy ◽  
Sex Education ◽  
Descriptive Analysis ◽  
Tertiary Care ◽  
Diagnostic Tools ◽  
Care Hospital ◽  
Care Teaching ◽  
Β Hcg ◽  
Ectopic Pregnancies

Background: Ectopic gestation is a gynaecological emergency which culminates in pregnancy loss and causes significant maternal morbidity, mortality besides jeopardizing future conception. The study discusses the incidence, risk factors, symptomatology and management of ectopic pregnancy in a tertiary care teaching hospital.Methods: This was a prospective study of 45 cases of ectopic pregnancies at a tertiary care teaching hospital from January 2012 to December 2013. Information was collected in a structured proforma, tabulated and descriptive analysis was carried out.Results: The incidence of ectopic pregnancy was 1.17%. Majority of the patients (80%) belonged to 20-30 yrs age group. Second gravidas predominated (42.2%). Fallopian tube was the most common site (95.5%). Rudimentary horn ectopic accounted for 4.65%. Previous abdominopelvic surgery (31.1%), IUCD usage (22.2%), PID (20%), abortions (20%), tubectomy (15.5%) were the principal risk factors. 42% of the patients had no risk factor. The triad of amenorrhea, bleeding per vaginum and abdominal pain was seen in 51.1% of cases. Ultrasound, UPT, β-hCG estimation were the diagnostic tools. Ruptured ectopic pregnancy accounted for 64.4%. Nearly 95.5% of patients underwent surgery; salpingectomy (76%). Methotrexate was successful in 4.44%. There was no maternal mortality.Conclusions: Mostly diagnosis, prompt surgical or medical management is cornerstone of treatment. Primary prevention such as improved access to family planning services, sex education, treatment of STI, PID, surgical asepsis  and haemostasis, implementing legislation for dispensing MTP drugs ameliorate risk factors and hence reduce ectopic pregnancy.

scholarly journals An audit of extra-uterine pregnancy in a tertiary care facility in Northern India

2017 ◽  
Vol 6 (11) ◽  
pp. 5025
Author(s):  
Sheeba Marwah ◽  
Kumari Usha Rani ◽  
Archana Mishra
Keyword(s):  
Risk Factors ◽  
Ectopic Pregnancy ◽  
Tertiary Care ◽  
Previous History ◽  
Care Facility ◽  
First Trimester ◽  
Hospital Data ◽  
Northern India ◽  
Tertiary Care Facility ◽  
Incidence Risk

Background: Ectopic pregnancy is the most frequent lethal gynaecological predicament, befalling worldwide in all strata of reproductive women. It remains the leading cause of pregnancy-related first trimester deaths. Though prompt diagnosis has furthered a decline in associated morbidity, an upsurge has been seen in its prevalence owing to a rise in predisposing risk factors. The objectives of this study were to identify incidence, risk factors, and outcome in patients presenting with ectopic pregnancy in a tertiary care hospital.Methods: This two-year retrospective study was conducted in Department of Obstetrics and Gynecology in Vardhaman Mahavir Medical College and Safdarjung hospital, on patients presenting with a diagnosis of ectopic pregnancy (either ruptured or un-ruptured). The primary outcome was incidence of ectopic pregnancy. Secondary outcomes noted were demographic characteristics, predisposing risk factors, clinical presentation and management course in hospital. Data was recorded on a predesigned proforma and deciphered later.Results: Incidence of ectopic pregnancy was 0.82%. Significant causative factors were previous history of PID (29.28%), TB (21.4%), previous pelvic surgeries (18.57%) and preceding ectopic pregnancy (12.14%).Conclusions: Increase awareness and knowledge of risk factors amenable to modification and features will aid early diagnosis of extra-uterine pregnancy, besides planning conservative treatment if possible, and devising effective risk-reduction strategies.

scholarly journals A retrospective analysis of ectopic pregnancies in tertiary care hospital of Western India: two year study

2020 ◽  
Vol 9 (8) ◽  
pp. 3336
Author(s):  
Tanmay J. Chudasama ◽  
Sapana R. Shah ◽  
Rupa C. Vyas ◽  
Purvi M. Parikh
Keyword(s):  
Maternal Morbidity ◽  
Tertiary Care ◽  
Reproductive Potential ◽  
First Trimester ◽  
Morbidity And Mortality ◽  
Western India ◽  
Care Hospital ◽  
Β Hcg ◽  
Ectopic Pregnancies ◽  
High Index Of Suspicion

Background: Ectopic pregnancy (EP) is the leading cause of maternal morbidity and mortality in the first trimester and major cause of reduced reproductive potential. Early detection of EP by improved ultrasonography modalities has decreased the rate of rupture and consequent maternal morbidity. Aim was to study the predisposing risk factors in modern scenario and choose the appropriate management available.Methods: A retrospective study on clinical diagnosis and management of EP of patients was carried out between January 2018 to February 2020. Investigations included CBC, UPT, serum β-hCG and TVS. Management was decided after thorough evaluation.Results: Out of 7,780 deliveries, 70 were EP (0.9%). Women with age 21-30 year had highest incidence (85.7%). Common symptoms were abdominal pain (94%), amenorrhea (87%), bleeding per vagina (48%). Most common risk factor associated with EP was PID (28.5%). Tubal EP was most common (84.2%) involving ampulla (66%), isthmus (15%), fimbria (12%), interstitial (7%). Scar ectopic was reported in 10% of cases and ovarian, rudimentary horn and abdominal pregnancy in 1.4% each. About 52.8% of ectopic was ruptured and salpingectomy was done in 74.3% and salpingo-oophorectomy in 2.8%. Five cases of scar EP required hysterotomy and 1 case was managed by methotrexate (MTX).Conclusions: EP remains a major challenge to the obstetrician worldwide. A high index of suspicion is required for early diagnosis and timely intervention in the form of medical or surgical treatment will definitely help in reducing the morbidity and mortality.

scholarly journals A study on presentation and management of ectopic pregnancy at tertiary care hospital

2021 ◽  
Vol 10 (5) ◽  
pp. 1997
Author(s):  
Tarini Singh ◽  
Sanil Mohan ◽  
Shikha Aggarwal ◽  
Debkalyan Maji
Keyword(s):  
Ectopic Pregnancy ◽  
Tertiary Care ◽  
First Trimester ◽  
Severe Form ◽  
Successful Outcome ◽  
Care Hospital ◽  
Northern India ◽  
Pain Abdomen ◽  
Life Threatening ◽  
A Prospective Study

Background: Ectopic pregnancy and its consequences are the most severe form of obstetric emergency during first trimester of pregnancy. It is a kind of life threatening emergency leading to significant maternal morbidity and even mortality.Methods: A prospective study was conducted at a tertiary care teaching hospital of Northern India from 01 Jan 2020 to 31 Mar 2020. All cases of ectopic pregnancy which were admitted and managed during this study period were included in the study. All collected data were analysed with Epitable 6.04 version and SPSS version 20 software.Results: During the study period total 32 cases of ectopic pregnancy were studied. Classical symptoms of amenorrhoea, pain abdomen and bleeding per vaginum were observed in 62.50% cases whereas 93.75% cases were associated with pain abdomen only and 71.88% cases had the symptoms of bleeding per vaginum only. All cases were managed surgically. The incidence of ectopic pregnancy was one in 200 delivered pregnancy. Most case were multiparas and common in 27 -32 yr age group (53.13%). Tubal ectopic pregnancy was common in right side (63%).   Approximately 81% cases presented with haemoperitoneum and 63% cases required blood transfusion.Conclusions: Ectopic pregnancy mostly presents as an obstetrics emergency in our hospital especially with rupture ectopic pregnancy with haemoperitoneum. Early diagnosis and intervention suited best for the situation is mainstay for favourable and successful outcome.

scholarly journals FREQUENCY OF UNRUPTURED ECTOPIC PREGNANCY IN A TERTIARY CARE HOSPITAL OF HAIL CITY, SAUDI ARABIA

2016 ◽  
Vol 21 (4) ◽  
pp. 236
Author(s):  
Saadia Rasheed ◽  
Sehar Shahbaz ◽  
Shazia Hammad
Keyword(s):  
Ectopic Pregnancy ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Lower Abdominal Pain ◽  
First Trimester ◽  
Transvaginal Sonography ◽  
Care Hospital ◽  
Positive Urine ◽  
History Of ◽  
Urine Pregnancy Test

AbstractAims and Objectives:Determine the frequency of unruptured ectopic pregnancy in a tertiary care hospital of Hail City, Saudi Arabia.Study Design:It was an observational case series.Material and Method:A total of 150 cases between 15 44 years with history of amenorrhea (6 8 weeks) and vaginal bleeding with or without lower abdominal pain, positive urine pregnancy test were enrolled in the study while heterotopic pregnancy, ruptured ectopic pregnancy and patients in first trimester with obstetric problem other than ectopic pregnancy were excluded from the study. All these cases were collected from Maternity and Childrens hospital Hail, Kingdom of Saudia Arabia during 2011 to 2014.Results:In our study, 64.67% (n = 97) of the cases were between 15 30 years of age while 35.33% (n = 53) were between 31 44 years, mean sd was calculated as 26.34 2.67 years, frequency of unruptured ectopic pregnancy was recorded in 14% of the cases.Conclusion:The frequency of un-ruptured ectopic pregnancy is higher and TVS may be used for early detection of this morbidity.Key Words:Ectopic pregnancy, un-ruptured, Transvaginal sonography.

scholarly journals Ectopic pregnancy: a five year retrospective study in a tertiary care hospital

2015 ◽  
pp. 1400-1403
Author(s):  
Arti Tuli ◽  
Sunita Goyal ◽  
David Livingston ◽  
Amritha Kurian
Keyword(s):  
Retrospective Study ◽  
Ectopic Pregnancy ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital

scholarly journals Ectopic pregnancy in a tertiary care center: a retrospective study

2016 ◽  
pp. 962-964
Author(s):  
Chaitra Shivananjaiah ◽  
Ashwini U. ◽  
Kamya Swaminathan ◽  
Asha Swarup ◽  
Suneha Pocha ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Ectopic Pregnancy ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center
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