Background: Ectopic pregnancy is frequently occurs among pregnant women. Objective: The purpose of the present study was to see the incidence and socio-demographic characteristics of ectopic pregnancy patients. Methodology: This cross-sectional study was carried out in the inpatient Department of Obstetrics and Gynaecology at Bangladesh Medical College Hospital, Dhaka, Bangladesh from January 2009 to December 2009 for a period of one (1) year. All clinically suspected cases of ectopic pregnancy within the reproductive age admitted in the department of Obstetrics and Gynaecology at Bangladesh Medical College Hospital, Dhaka were included in the present study. After taking detailed history with particular scrutinization of the menstrual, obstetric and contraceptive history, a thorough physical examination was performed. The ectopic pregnancy was confirmed by laboratory and imaging technique. Result: The incidence of ectopic pregnancy in BMCH was 2.16% cases.The mean age with SD of the study population was 24.0±2.87 years. The ectopic pregnancy was closely related with high parity and it had been found that para-2 was the most common which was 20(44%) cases.Pelvic infection (33.0%), past history of abortion or MR (28.0%), and history of infertility (25.0%) were constituted the main bulk of risk factors. Only 3.0% had history of tuberculosis. Conclusion: In conclusion young para 2 women with pelvic infection or past history of abortion or MR are most commonly suffering from ectopic pregnancy. Journal of National Institute of Neurosciences Bangladesh, 2020;6(1): 59-63
Background: Teenagers face greater risk of pregnancy than the woman in their adulthood. Objective: The purpose of the present study was to see the maternal outcomes of women presented with teenager pregnancy. Methodology: This cross-sectional study was performed in the Department of Obstetrics and Gynecology at Kurmitola General Hospital, Dhaka, Bangladesh for a period of six months from March 2019 to September 2019. The teenage mothers with the age group of 13 to 19 completed years at delivery who were admitted to the Department of Obstetrics and Gynecology were included in this study. On admission, diagnosis was established by history, presenting complaints, physical examination, per-abdominal examination and per-vaginal examination. Complications during pregnancy and labour, mode of delivery, post-partum complications and perinatal outcome were noted. Results: A total number of 100 teenage mothers were recruited for this study. During this study period, 74.0% mothers were aged 18 to 19 years. About 52.0% cases of teenage mothers were suffered from various complications during pregnancy and labor and among them, anemia was in 21.15% cases; UTI was in 3.84% cases; PE was in 17.31% cases; eclampsia was in 3.84% cases; PROM was in 15.38% cases; CPD was in 5.76% cases; prolonged labor was in 93.34% cases; obstructed labor 6.66% cases and preterm labor 15.4% cases. Their modes of delivery were vaginal delivery 63%, caesarean delivery 39%. Among them, indications of caesarean delivery were PROM with Fd 30.77% Gross IUGR with FD 12.82% cases prolonged labor 10.26%, obstructed labor 2.56%, CPD 7.69%, eclampsia 5.13% cases. 57% of teenage mothers suffered from postpartum complications. Among them, PPH was 28.07% cases, inadequate lactation 10.53% cases, Post spinal headache 10.53% cases and wound infection 10.53% cases. Conclusion: In conclusion the most common maternal complication are anemia, UTI, PE, eclampsia, PROM, CPD, prolonged labor, obstructed labor and preterm labor. Journal of National Institute of Neurosciences Bangladesh, July 2022;8(2):185-188
Background: Management of ectopic pregnancy is very crucial issue for the survival of the patients. Objective: The purpose of the present study was to observe the surgical management and per-operative findings of women with ectopic pregnancy. Methodology: This cross-sectional study was carried out in the inpatient Department of Obstetrics and Gynaecology at Bangladesh Medical College Hospital, Dhaka, Bangladesh from January 2009 to December 2009 for a period of one (1) year. All clinically suspected cases of ectopic pregnancy within the reproductive age admitted in the department of Obstetrics and Gynaecology at the Bangladesh Medical College Hospital, Dhaka were included in the present study. In most of the cases, laparoscopy or laparotomy was done to confirm the diagnosis and manage the cases. Result: A total number of 48 cases of ectopic pregnancy women were recruited for this study. The highest number of ectopic pregnancy occurs in the ampulla of the fallopian tube which was 27(58.3%) cases. The right tube had been found to be affected more than the left which was 30(62.5%) cases and 18(37.5%) cases respectively. Most of the patients were presented with ruptured tubal pregnancy which was 30(62.5%) cases. Opposite tube was normal looking in 25(52.1%) cases. Unilateral salpingectomy and salpingectomy with contra lateral tubectomy were operated in 32(66.7%) cases and 10(20.8%) cases respectively. Conclusion: In conclusion most of the ectopic pregnancy is occurred in the site of ampulla of fallopian tube in right side which are mostly surgically managed by unilateral salpingectomy. Journal of Current and Advance Medical Research 2020;7(1): 12-16
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