scholarly journals Experience with Ectopic Pregnancy in a Tertiary Care Teaching Hospital

2018 ◽  
Vol 27 (2) ◽  
pp. 22-26
Author(s):  
NA Parveen ◽  
MM Sarker ◽  
MK Sarker
Keyword(s):  
Abdominal Pain ◽  
Ectopic Pregnancy ◽  
Vaginal Bleeding ◽  
Tertiary Care ◽  
Lower Abdominal Pain ◽  
Reproductive Age ◽  
Age Group ◽  
Treatment Morbidity ◽  
Incidence Risk ◽  
Abnormal Vaginal Bleeding

Ectopic pregnancy is a common life-threating condition. Diagnosis is frequently missed and should be considered in any women in the reproductive age group presenting with abdominal pain or vaginal bleeding. This prospective observational study was conducted in RMCH to determine the incidence, risk factors, clinical presentation, treatment, morbidity and mortality associated with ectopic pregnancy. A total of 50 cases of ectopic pregnancy were operated during the study period giving the incidence of ectopic pregnancy of 8.02/1000 pregnancies. The age of the patient ranged from 18-37 years, with maximum (40%) between 26-30 years age group. 36% patients had delivered one child and 24% were nulliparous. 30% patients had pelvic inflammatory disease and 22% had history of previous abortion/ MR. All patients presented with lower abdominal pain, 68% presented with abnormal vaginal bleeding and 60% had amenorrhoea. Most of the patients were diagnosed by high clinical suspicion and confirmed by USG. 96% cases ectopic pregnancy occurred in the fallopian tube and ampullary part was mainly affected. Laparotomy followed by unilateral salphingectomy was performed in majority (60%) of cases. 22% cases ipsilateral salpingectomy with tubectomy other side and 12% cases salpingostomy were performed. The recovery of majority of patients was smooth and uneventful. There was no death in this study.TAJ 2014; 27(2): 22-26

scholarly journals One-year retrospective study on clinical, investigational and operative correlation in a tertiary care hospital

2017 ◽  
Vol 6 (12) ◽  
pp. 5519
Author(s):  
Basant Kumar Pati
Keyword(s):  
Risk Factors ◽  
Abdominal Pain ◽  
Ectopic Pregnancy ◽  
Tertiary Care Hospital ◽  
Demographic Data ◽  
Tertiary Care ◽  
Lower Abdominal Pain ◽  
Reproductive Age ◽  
Care Hospital ◽  
One Year

Background: Ectopic pregnancy is a life-threatening emergency which is one of the important cause of maternal mortality. Ectopic pregnancy must be suspected in any woman in the reproductive age group, presenting with lower abdominal pain or vaginal bleeding. Our aim was to review all cases of ectopic pregnancy and determine the incidence, high risk factors, types of clinical presentation and mode of management.Methods: This was a retrospective cohort study, conducted at a tertiary care hospital. Medical records of all women with an ectopic pregnancy between 2016 and 2017 were seen. Demographic data, risk factors, clinical features, and mode of management were noted.Results: 90 patients, diagnosed with ectopic pregnancy during last one year was included in the present study, with an incidence of 1.2%. Majority of women were aged 20-30 years (50%). 74.4% cases were ruptured ectopic. The most common risk factors were previous ectopic (50%) and pelvic inflammatory disease (17.7%). Lower abdominal pain was seen in 80 (40.3%) patients. Majority of patients (91.1%) had tubal ectopic pregnancies. Most common mode of treatment was salpingectomy.Conclusions: Risk factors for ectopic pregnancy must be enquired and early diagnosis and management to be done to avoid maternal morbidity and mortality.

scholarly journals Clinical presentation and outcome of ectopic pregnancies in a tertiary care rural hospital

2019 ◽  
Vol 8 (2) ◽  
pp. 692
Author(s):  
Indu Verma ◽  
Punya Priya ◽  
Charvi Chugh ◽  
Harsharan Kaur ◽  
Dinesh Sood
Keyword(s):  
Ectopic Pregnancy ◽  
Rural Areas ◽  
Clinical Presentation ◽  
Tertiary Care ◽  
First Trimester ◽  
Rural Hospital ◽  
Reproductive Age ◽  
Age Group ◽  
Pain Site ◽  
Tract Infections

Background: Ectopic pregnancy is the commonest cause of the maternal morbidity and mortality in the first trimester of the pregnancy. The aim of this study was to see the clinical presentation, associated risk factors, mode of treatment and outcome.Methods: Retrospective study conducted in a tertiary care rural hospital. Women with diagnosis of ectopic pregnancy admitted between August 2016 to September 2018 were studied. Medical record files were scrutinized to get the details. Data was analyzed using Microsoft Office Excel (version 2007). Numerical data were subjected to descriptive analysis, with mean±standard deviation (SD) and categorical data as frequency and percentage.Results: Forty cases of ectopic pregnancy were included who were unbooked, non-smokers, married and belonged to rural areas. Eighty percent were in the age group of 20 to 30 years.  Maximum were gravida 3 or 4 with commonest presentation was pain, site was tubal. Laparotomy was done in 95% of women salpingectomy was the commonest surgical procedure done in 32 (80%) women. Salpingoophrectomy was done in one woman and lifesaving hysterectomy in 2 (5%) women for cervical and ruptured interstitial ectopic pregnancy one each. Blood transfusion was required in 28 (70%) women. No mortality was seen.Conclusions: Women of reproductive age group with pain abdomen and menstrual complaints, even without amenorrhoea, ectopic pregnancy should be ruled out. Treating reproductive tract infections / PID and offering contraceptives will decrease the incidence of ectopic pregnancy. Medical and paramedical staff should do the timely referral to higher centres.

scholarly journals A clinical study of ectopic pregnancy in a tertiary care hospital

2018 ◽  
Vol 7 (11) ◽  
pp. 4461
Author(s):  
Arati Behera ◽  
Ranjita Ghadei ◽  
Rudra Narayan Bal
Keyword(s):  
Risk Factors ◽  
Ectopic Pregnancy ◽  
Tertiary Care ◽  
Medical Practitioner ◽  
High Risk Group ◽  
Reproductive Age ◽  
Common Symptom ◽  
Care Hospital ◽  
Age Group ◽  
Future Fertility

Background: Ectopic pregnancy is a life-threatening emergency commonly encountered by medical practitioner. Diagnosis is frequently missed and should be considered in any women in the reproductive age group with abdominal pain or vaginal bleeding. The aim of the study is to assess the incidence, clinical presentation, risk factors, methods of diagnosis, treatment, outcome and complications.Methods: This was a prospective study at S.C.B. Medical college from January to December 2017. Parameters like age, parity, gestational period, risk factors, clinical presentations, findings on ultrasonogram and at surgery with morbidities associated with diagnosed cases of ectopic pregnancy (n=93) were noted and analysed with SPSS-19 software.Results: Incidence of ectopic pregnancy was 18/1000 deliveries. Maximum cases were in age group of 21 to 30 years (54.8 %) and parous (76.3%). Common risk factors were having history of abortions (46.2%), previous tubal sterilization (24.7%), having one or more caesarean section (17.2%) and h/o infertility (16.1%). Most common symptom was pain abdomen (96.8%). Commonest site was ampullo-isthmic region of tube and rupture was the commonest mode of presentation. All underwent laparotomy and unilateral salpingectomy was done in 86 % of cases. It contributed to 3.27 % of total maternal deaths.Conclusions: Suspicion in high risk group can direct one to investigate and diagnose early, thereby reducing morbidity, mortality and improving the prospect of future fertility.

scholarly journals Study of diagnosis and management of ectopic pregnancy

2019 ◽  
Vol 8 (6) ◽  
pp. 2465
Author(s):  
Seema Patel ◽  
Ajesh Desai
Keyword(s):  
Abdominal Pain ◽  
Surgical Treatment ◽  
Ectopic Pregnancy ◽  
Clinical Presentation ◽  
Lower Abdominal Pain ◽  
Age Group ◽  
Obstetrics And Gynaecology ◽  
Beta Hcg ◽  
Adnexal Pathology ◽  
A Prospective Study

Background: Diagnosis of ectopic pregnancy was frequently missed. Aim of the study was to determine the clinical presentation, and treatment associated with ectopic pregnancy.Methods: This is a prospective study which was carried out at Obstetrics and Gynaecology department, GMERS SOLA civil hospital from August 2017 to October 2018. Total 416 patients were admitted during study period out of them 50 patients diagnosed with ectopic pregnancy were enrolled in the study and information was collected and analysed.Results: 80% patients were between the age group of 21-30 years. 56% patients were nulliparous. Amenorrhea (92%) with lower abdominal pain (94%) is the most common presenting symptom. 26% of patients show typical triad of amenorrhea, abdominal pain and bleeding per vagina. UPT and USG were most commonly performed investigations. 96% cases showed UPT positive. 100% USG showed adnexal pathology. Serum beta-hCG was done in 37 patients as an aid for diagnosis and to decide the line of management. Conservative medical management with Injection MTX was done in 4 patients of which 1 patients required laparotomy later on. Surgical management was done in 90% of patients. Laparoscopic management was done in 54% of cases.Conclusions: Early diagnosis and timely intervention in the form of conservative or surgical treatment will help in reducing the morbidity and mortality associated with ectopic pregnancy.

scholarly journals Epidemiology and Risk Factors of Pelvic Inflammatory Disease.

2015 ◽  
Vol 13 (1) ◽  
pp. 4-8
Author(s):  
Bandana Pandey
Keyword(s):  
Abdominal Pain ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Rural Areas ◽  
Lower Abdominal Pain ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Age Group ◽  
Increased Risk ◽  
Reproductive Age Group

Introduction: Knowledge of pelvic inflammatory disease and its epidemiology is essential to understand reproductive morbidity in women. This paper estimates the level of association between demographic factors and pelvic inflammatory disease in women in their reproductive age. Methods: A descriptive study done in Humla, Kritipur and Baudha by organizing a health camp. Women of reproductive age group and who have lower abdominal pain, pervaginal discharge, fever, and dysparunia were included in the study after taking informed verbal consent from the patient. Patients who have lower abdominal pain and pervaginal discharge were diagnosed as pelvic inflammatory disease. Results: Diagnoses of pelvic inflammatory disease were made in 30% of attendances amongst women aged between 16 to 48. Increased risk of pelvic inflammatory disease was associated with smoking (P<0.0001), age groups 31 – 40 yrs (44.6%),in rural areas(45%) and people who are illiterate (P<0.0001). Among 400, 383(95%) were reported ever using a modern contraceptive. Conclusion: The prevalence of pelvic inflammatory disease was 30% in reproductive age group and was significantly associated with smoking.doi: http://dx.doi.org/10.3126/mjsbh.v13i1.12992 

scholarly journals Physical Health problems among Iraqi Women with Ectopic Pregnancy

2021 ◽  
Vol 7 (3) ◽  
Keyword(s):  
Abdominal Pain ◽  
Physical Health ◽  
Ectopic Pregnancy ◽  
Vaginal Bleeding ◽  
Acute Abdominal Pain ◽  
Maternity Hospital ◽  
Health Problems ◽  
Reproductive Age ◽  
Internal Bleeding ◽  
Physical Health Problems

Objective: To assess physical health problems among women with ectopic pregnancy and to evaluate the levels of Physical health among women with ectopic pregnancy, and to identify demographic characteristics of ectopic pregnant women Methods: This study was conducted at maternity hospital in Karbala city in Iraq to assess the physical health problems of women with ectopic pregnancy. This study was started in January 2020 to March 2021, The data regarding women's health problems was achieved from the patient’s charts that recorded in the Statistical Department in the hospitals, the study consist of (40) women with ectopic pregnancy which were selected according to inclusion criteria (Women who had ectopic pregnancy, Women in reproductive age only). The data are analyzed through the use of descriptive and inferential statistics analysis procedures were employed for the data analysis. Result: The findings of the study exhibits that women with ectopic pregnancy were suffering from physical health problems such as (acute abdominal pain, tired and lethargic, faint, hypotension, vaginal bleeding, internal bleeding). The mean of scores for items related to physical health problems among women that show bad among most of items (1, 3, 4, 6, 7, 8, and 9) except item 2, 5, and 6 that show fair. Conclusion: The study concludes that women with ectopic pregnancy were suffering from physical problem such as (acute abdominal pain, tired and lethargic, faint, hypotension, vaginal bleeding, and internal bleeding).

scholarly journals Incidental finding of thoracic outlet syndrome in a case of right tubal ruptured ectopic pregnancy

2020 ◽  
Vol 9 (9) ◽  
pp. 3880
Author(s):  
Niranjan Chavan ◽  
Shalini Mahapatra ◽  
Meenakshi Ruhil ◽  
Shweta Mohokar
Keyword(s):  
Blood Pressure ◽  
Abdominal Pain ◽  
Ectopic Pregnancy ◽  
Vaginal Bleeding ◽  
Thoracic Outlet Syndrome ◽  
Incidental Finding ◽  
Lower Abdominal Pain ◽  
Pelvic Ultrasound ◽  
Provisional Diagnosis ◽  
Tubal Ectopic Pregnancy

A 30-year-old woman, (multigravida) suffering from lower abdominal pain and slight vaginal bleeding was transferred to our hospital. She came with a pelvic ultrasound report. The provisional diagnosis of right tubal ectopic pregnancy was made. A laparotomy was carried out. Intraoperatively, blood pressure in both the arms were taken which revealed different blood pressure in different arms. A diagnosis of thoracic outlet syndrome was made. No postoperative complications were observed. 

scholarly journals Presenting complaints in Gynecology Outpatient Department (OPD) and Prevalence and Assessment of Dysmenorrhea

2017 ◽  
Vol 16 (1) ◽  
pp. 47-51
Author(s):  
Dhan Bahadur Shrestha ◽  
Sumana Thapa ◽  
Rajshree Singh ◽  
Roshan Khatiwada ◽  
Sachita Pandey ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Family History ◽  
Lower Abdominal Pain ◽  
Cross Sectional Study ◽  
Hot Water ◽  
Reproductive Age ◽  
Outpatient Department ◽  
Age Group ◽  
Cross Sectional ◽  
Reproductive Life

Introduction: Menstrual disorder encompasses a major chunk of gynecological outpatient department visits. Among menstrual disorders, dysmenorrhea is the commonest problem during reproductive life. Dysmenorrhea is crampy lower abdominal pain involving lower back, genitalia and upper thigh. Its prevalence varies widely from 40-94% with environment, ethnicity, lifestyle etc. It is a major cause for absenteeism from job/school. Common risk factors include family history, low body mass index (BMI), early menarche, psychological factors, smoking etc. Methods: This non-interventional cross-sectional study was conducted over 427 females of reproductive age group (15-49 years) visiting Gynecology OPD for 6 months’ duration. Information was gathered from patients using a semi-structured standardized questionnaire formulated after a pilot study after obtaining written consent. Patients out of the specified age group, not giving consent, or previously interviewed patients coming for follow-up were excluded from the study.Results: This study showed the commonest complaint for visiting hospital as lower abdominal pain (50.6%), followed by menstrual abnormalities and Per-Vaginal (PV) discharge. Among menstrual problems, majority complained of irregularity of cycle (53.3%), followed by menorrhagia. The lifetime prevalence of dysmenorrhea was 86.4%, while point prevalence was 75.6%. Among dysmenorrheic individuals; 36.9%, 26.8% and 36.3% had mild, moderate, and severe pain respectively. Among them only 24.6% were taking medications and 6.5% were using hot water bag. There were significant correlations of severity of dysmenorrhea with its impact on activities (p=.000) and intervention (p=.000) though there was no significant correlation with family history, alcohol and tobacco consumption.Conclusion: Lower abdominal pain is the commonest complaint for gynecological OPD visit. Among menstrual disturbances, dysmenorrhea is a common entity that has significant impact on life and needs proper intervention.

scholarly journals Socio-demographic Characteristics of Pelvic Inflammatory Diseases Women attended at a Tertiary Care Hospital in Dhaka

2018 ◽  
Vol 15 (2) ◽  
pp. 31-35
Author(s):  
Tahamina Khanum ◽  
Gulshan Ara ◽  
Umme Hafsa Zakiatul Husna ◽  
Mohammed Zubayer Miah ◽  
Shafeya Khanam
Keyword(s):  
Inflammatory Diseases ◽  
Economic Status ◽  
Tertiary Care ◽  
Lower Abdominal Pain ◽  
Demographic Characteristics ◽  
Reproductive Age ◽  
Care Hospital ◽  
Age Group ◽  
College Hospital ◽  
Cross Sectional

Background: Women with pelvic inflammatory diseases can occur in different socio-demographic characteristics.Objectives: The purpose o f the present study was to see the socio-demographic characteristics of women presented with pelvic inflammatory diseases women.Methodology: The cross-sectional study has been carried out at the outpatient units of Obstetrics and Gynaecology Department of Dhaka Medical College Hospital from January 2007 to June 2007 for a period of six (6) months. Women with the age group of 15 to 45 years presented with lower abdominal pain, tenderness, per vaginal discharge and cervical motion tenderness were included in this study. Women with fibroid uterus, uterovaginal prolapsed or cystocele was excluded from this study. The details of socio-demographic characteristics like the age, religion, social status, occupation, marital status and their husband information were taken.Result: The study was performed on 50 cases of which majority (50%) belonged to the age group of 26 to 35 years. Majority of the patients were housewife (82.0%). Among them 30% of the husbands occupation was driver. Maximum were from low socio-economic status (70.0%), illiterate (50.0%) and married single (80.0%).Conclusion: In conclusion majority of the women presented pelvic inflammatory diseases are in reproductive age group illiterate housewife.Journal of Science Foundation 2017;15(2):31-35

Obstetrics and gynaecology

2013 ◽  
Author(s):  
Victoria Stacey
Keyword(s):  
Abdominal Pain ◽  
Ectopic Pregnancy ◽  
Inflammatory Disease ◽  
Vaginal Bleeding ◽  
Emergency Contraception ◽  
Postpartum Haemorrhage ◽  
Hyperemesis Gravidarum ◽  
Obstetrics And Gynaecology ◽  
Abnormal Vaginal Bleeding ◽  
In Pregnancy

Abdominal pain in women - Ectopic pregnancy - Pelvic inflammatory disease (PID) - Other gynaecological causes of abdominal pain - Abnormal vaginal bleeding - Emergency contraception - Bleeding in pregnancy - Hyperemesis gravidarum - Pre-eclampsia and eclampsia - Rhesus prophylaxis—anti-D immunoglobulin - Emergency delivery - Postpartum haemorrhage - Pregnancy and trauma - SAQs

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