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.
Today, the world is facing pandemic outburst of diseases. Many Physicians-Scientist are working really hard to find out the measures which can either prevent or cure these diseases. But, we are still lagging behind in one or the other way. The most important way through which we will be able to curb these diseases is by doing Research. Research is defined as a process of investigation, interpretation and updating of the scientific knowledge. Research is a tool for building knowledge and efficient learning. It is also important for budding and veteran writers, both offline and online. For those looking for a job or a promotion in good hospitals, research is likewise a necessity. It helps in understanding various ongoing health hazards. It is also a way to discard old hypothesis and develop new facts on which the medical world can completely rely on. Research is the need of the day and everyone in medical profession is encouraged to do it including medical students. But their contribution to research is quite less when compared to students of other profession. History says that many inventions were created by medical students. One of the most important research was of insulin discovery and its purification which was made by Dr. Frederick Banting and his second-year medical student assistant Charles Best. Jay Mclean, a medical student from John Hopkins University had discovered Heparin. However, Research should not be made compulsory. Research entails both reading and writing. These two literacy functions help enable computation and comprehension. Without these skills, it is less likely for anyone to appreciate and get involved in research. Reading opens the mind to a vast horizon of knowledge, while writing helps a reader use her/his own perspective and transform this into a more concrete idea that s/he understands. Apart from reading and writing, listening and speaking are also integral in conducting research. Interviews, attending knowledge-generating events, and casual talks with anyone certainly aid in formulating research topics. They can also facilitate the critical thinking process. Listening to experts discuss the merits of their studies helps the listener to analyze a certain issue and write about such analysis. Curiosity may kill not just the cat, but the human as well. Yet, it is the same curiosity that fuels the mind to seek for answers. Indeed, research and doing research encourage people to explore possibilities, to understand existing disorders, and to disclose facts. Without research, healthy life would remain as fantasy. Reading, writing, observing, analyzing, and interacting with others facilitate an inquisitive mind's quest for knowledge and efficient learning. Research serves as an instrument to achieve that healthy world goal.
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