A retrospective analysis of ectopic pregnancy at a tertiary care centre: one year study

Bhuria, Vandana; Nanda, Smiti; Chauhan, Meenakshi; Malhotra, Vani

doi:10.18203/2320-1770.ijrcog20162098

Cited by 8 publications

(22 citation statements)

References 7 publications

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“…The presented case fulfilled the von Spiegelberg criteria for primary ovarian ectopic pregnancy based on the following histopathological findings: The gestational sac in the area of the ovary, ovarian tissue in the wall of the gestational sac, and intact associated ipsilateral fallopian tube (5); similar to the studies by Ghasemi et al (1), Bhuria et al (2), and Manjula et al (8). Although, the current case results were similar to those of the other studies, for more complete epidemiological information and comparison between the findings in a geographic region, case series studies are mandatory.…”

Section: Discussionsupporting

confidence: 81%

“…One important cause of missed early diagnosis is mis- assessment of pelvis including uterus and both adnexa is highly recommended (2). This major concept, in the described patient, was fully respected.…”

Section: Discussionmentioning

confidence: 67%

“…A high index of suspicion should be maintained in reproductive age females with each one of the following symptoms: amenorrhea, abdominal pain, adnexal mass, peritoneal irritation, and enlarged uterus (acute abdomen) (2).…”

Section: Discussionmentioning

confidence: 99%

“…Today, one of the important causes of maternal mortality, morbidity, and early fetal loss, especially in the first trimester with 10% frequency, is ectopic pregnancy (EP) (1,2).…”

Section: Introductionmentioning

confidence: 99%

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Primary Ovarian Ectopic Pregnancy: A Case Report

Samiee-Rad¹,

Ziaee-Ardestani²,

Kalhor³

et al. 2017

Biotech Health Sci

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Introduction: Ectopic pregnancy is a serious health problem that leads to maternal mortality and morbidity. The current article was based on the record of a female patient with primary ovarian ectopic pregnancy. Case Presentation: The patient was a 28-year-old female with regular previous menstrual cycle and without using any contraception method. She presented with right lower abdominal pain and amenorrhea. Transvaginal sonography findings revealed a gestational sac in the right ovary. Finally, primary ovarian ectopic pregnancy was diagnosed by laparotomy and confirmed by histopathology. Conclusions: To prevent misdiagnosis, an awareness of this issue should be developed by gynecologists, surgeons, and radiologists.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%

“…Today, one of the important causes of maternal mortality, morbidity, and early fetal loss, especially in the first trimester with 10% frequency, is ectopic pregnancy (EP) (1,2).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Primary Ovarian Ectopic Pregnancy: A Case Report

Samiee-Rad¹,

Ziaee-Ardestani²,

Kalhor³

et al. 2017

Biotech Health Sci

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show abstract

“…The incidence of ectopic pregnancy in other Indian studies conducted during 1996 to 2015 ranged from 0.25% to 1.9%. [6][7][8][9][10][11][12][13][14][15] We compared the incidence of ectopic pregnancy in the institute from 2011 to 2013 and found an increase in incidence from 4.7 per 1000 deliveries to 6.3 per 1000 deliveries. Similar to our study, there was an increasing trend in the incidence of ectopic pregnancies in the studies conducted by Jophy et al (7.4 per 1000 live births to 15.2 per 1000 live births) and Porwal et al 6,7 Shobeiri et al conducted a study of 872 women with ectopic pregnancy in Iran during 2000 to 2010.…”

Section: Discussionmentioning

confidence: 99%

A study of incidence, risk factors, clinical profile and management of 50 cases of ectopic pregnancy in a tertiary care teaching hospital

Ganitha

Anuradha

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Ectopic pregnancy is a challenging and life-threatening emergency, which can cause significant maternal morbidity and mortality. The present study aims at determining the incidence, risk factors, clinical features, diagnosis, management and outcome of ectopic pregnancies in a tertiary care teaching hospital.Methods: This was a prospective study of 50 cases of ectopic pregnancies admitted to the Department of Obstetrics and Gynaecology at a tertiary care teaching hospital from August 2012 to September 2013. Relevant data of the 50 patients was tabulated and descriptive analysis was carried out.Results: The incidence of ectopic pregnancy was 6.3 per 1000 deliveries. Majority of the patients (82%) belonged to 20-30 yrs age group. 70% of the women were multiparous. The commonest site of ectopic pregnancy was fallopian tube (92 %). Past history of pelvic inflammatory disease (40%), abortions (20%), abdominopelvic surgery (14%) and IUCD usage (12%) were among the important risk factors identified. 20% of the patients had no identifiable risk factor. The classical triad of amenorrhea, bleeding per vaginum and abdominal pain was seen in 56 % of the study population. The most important signs which guided the diagnosis of ectopic pregnancy were cervical excitation pain (74%), abdominal tenderness (72%), adnexal mass or fullness (68%) and tenderness in the fornix (68%). Clinical presentation, urinary pregnancy test, culdocentesis and ultrasound were the diagnostic tools used for diagnosis of ectopic pregnancy. The incidence of ruptured ectopic pregnancy was 86%. Majority of the patients underwent salpingectomy (96%). There was no maternal mortality in our study.Conclusions: Early diagnosis, timely referral, improved access to health care, aggressive management and improvement of blood bank facilities can reduce the maternal morbidity and mortality associated with ectopic pregnancy.

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Determinants of ectopic pregnancy among pregnant women attending referral hospitals in southwestern part of Oromia regional state, Southwest Ethiopia: a multi-center case control study

Gerema

Alemayehu

Chane

et al. 2021

BMC Pregnancy Childbirth

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Background Ectopic pregnancy is an abnormal condition in which implantation of the blastocyst occurs outside the endometrium of the uterus. It is gynecological important, particularly in the developing world, because of associated with enormous rate of high morbidity, during the first trimester of pregnancy. A better understanding of its risk factors can help to prevent its prevalence. However, the determinants of ectopic pregnancy are not well understood and few researches conducted in our country were based on secondary data covering small scale area. This study aimed to identify determinants of ectopic pregnancy among pregnant women attending referral hospitals in Southwestern part of Oromia regional state, Southwest Ethiopia. Methods Hospital-based case control study was employed from June 1 to September 30, 2019. The study was conducted in five referral hospitals in Southwestern part of Oromia regional state. Final sample size includes 59 cases and 118 controls. Data were entered by using Epidata version 3.1 and analyzed using SPSS version 23. Descriptive statistics were used to explore the data. All explanatory variables with p-value of < 0.25 in bi-variable analysis, then entered into multivariable logistic regression. Associated factors were identified at 95% confidence interval (p < 0.05). Results Out of 177 (59 cases and 118 controls) participants, 174 (58 cases and 116 controls) were participating in the study. Prior two or more induced abortions [AOR = 3.95:95% CI: 1.22–13.05], previous history of caesarean section [AOR = 3.4:95% CI: 1.11–10.94], marital status (being single) [AOR = 4.04:95%CI: 1.23–13.21], reporting prior recurrent sexual transmitted infection [AOR = 2.25:95%CI: 1.00–5.51], prior history of tubal surgery [AOR = 3.32:95%CI: 1.09–10.13], were more likely to have an ectopic pregnancy with their respective AOR with 95%CI. Conclusion It was found that having a history of more than two induced abortions during previous pregnancies, marital status (single), recurrent sexual transmitted infection, prior history of tubal surgery and experiencing prior caesarean section were found to be determinants of ectopic pregnancy. Hospitals should give emphasis on prevention and early detection of risks of ectopic pregnancy and create awareness in order to reduce the burden of ectopic pregnancy.

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A retrospective analysis of ectopic pregnancy at a tertiary care centre: one year study

Cited by 8 publications

References 7 publications

Primary Ovarian Ectopic Pregnancy: A Case Report

Primary Ovarian Ectopic Pregnancy: A Case Report

A study of incidence, risk factors, clinical profile and management of 50 cases of ectopic pregnancy in a tertiary care teaching hospital

Determinants of ectopic pregnancy among pregnant women attending referral hospitals in southwestern part of Oromia regional state, Southwest Ethiopia: a multi-center case control study

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