No abstract

An ectopic pregnancy is one in which fertilized ovum is implanted at the site other than normal uterine cavity. [1] Incidence of ectopic pregnancy is 1:160 deliveries. [2] Clinical presentation is variable from acute to chronic type. Due to its varied clinical presentation ectopic pregnancy poses great diagnostic difficulty both to obstetrician, physician and surgeons. [3] OBJECTIVE: To find out incidence in our study population and to evaluate symptomatically and clinical presentation in these patients. MATERIALS AND METHODS: Retrospective study of 34 ectopic pregnancies admitted and treated in Medical College hospital, Ujjain from 2010 to 2015 are included in the study. RESULTS: The incidence of ectopic pregnancy is more between the age group of 21-30years (73.52%) and in Multigravida 64.71%. Infertility and previous tubal surgery are the high risk factors for tubal pregnancy. Pain in abdomen was present in all 34 cases, amenorrhea in 97.05% and bleeding per vagina in 76.47% cases. Syncopal attacks, vomiting were detected in 14.70% cases. Acute ectopic pregnancy was detected in 14.71% and chronic in 85.29% cases. 82.35% cases presented with adnexal mass, 79.41% with cervical motion tenderness, 50% with pallor, 32.35% with abdominal lump and tenderness and 11.76% with fullness in POD. CONCLUSION: Ectopic pregnancy is leading cause of maternal mortality in first trimester. In spite of advanced diagnostic techniques. It poses great diagnostic difficulties due to varied signs and symptoms. Previous tubal surgery pelvic inflammatory disease and infertility are the risk factors of tubal pregnancy.

Background: The standard procedure in ART is the use of fresh embryo transfer (FET) which has stood the test of time. But in recent years, frozen embryo transfer has also been used by many quite successfully and it may be a viable alternative to FET. Aim and Objective: The main aim of the study is to nd out if the clinical pregnancy rate per randomized patient after the rst good quality blastocyst transfer is superior in a freeze-all as compared with same cycle transfer strategy in poor responders. The main objective of present study is to compare the 'freeze-all' strategy with same cycle transfer strategy among poor responders in articial conception technology. Methods: An observational, prospective, cohort study was conducted between August 2018 and January 2019. In total, 102 poor responder patients (as per Poseidon criteria) were taken for COS with GnRH antagonist stimulation protocol and blastocyst stage embryo transfer was performed. Clinical pregnancy rate and ongoing pregnancy rate were signicantly higher in frozen em Results: bryo transfer group than fresh embryo transfer group. Conclusion: In poor responder group of patients, IVF outcomes can be improved by implementing freeze all policy. Major concern in poor responder patients is reduced oocyte competence due to availability of lesser oocyte. Therefore, better outcomes could be achieved with the help of Pre implantation genetic screening synchronized with latest endometrium receptivity markers which is only possible with freeze all policy.

No abstract