Ectopic pregnancy an obstetric emergency: retrospective study from medical college Ambala, Haryana, India

Yadav, Shivangi; Kaur, Simmanjit; Yadav, Sachin Singh

doi:10.18203/2320-1770.ijrcog20162095

Cited by 3 publications

(17 citation statements)

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“…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%

“…Similar to our study, most studies reported that majority of women diagnosed with ectopic pregnancy belonged to this age group. 7,[9][10][11][12][13][14][15][16]18,19 This is probably because sexual activity and fertility of women is highest during this period. In the present study, 70% of the women were multiparous which was comparable with studies by Bhuria et al, Rakhi et al, Yadav et al and Prasanna et al 8,15,18,19 In the present study, the commonest site for ectopic pregnancy was tubal (92%).…”

Section: Discussionmentioning

confidence: 99%

“…Yadav ST et al, Yadav A et al, Jophy et al and Shivakumar et al also found H/O PID as the major risk factor for ectopic pregnancy. 6,8,10,14 Moini et al reported a strong association between prior PID and ectopic pregnancy. 20 Past history of previous abortion with or without D&C was found to be an important risk factor in most studies including the present study.…”

Section: Discussionmentioning

confidence: 99%

“…20 Past history of previous abortion with or without D&C was found to be an important risk factor in most studies including the present study. 6,[8][9][10][11][12]14,19 This is probably because of tubal damage following post abortal infections.…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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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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“…According to Yadav ST et al, multiparous women were more prone to ectopic pregnancy (61.1%) although primigravida were also affected 25 .…”

Section: Discussionmentioning

confidence: 98%

Ectopic Pregnancy: A life threatening emergency

2017

Int. J. Curr. Res. Med. Sci.

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Introduction: Ectopic pregnancy is implantation of gestational sac outside the uterus 1 . Most common sites of ectopic pregnancy are fallopian tubes. Other sites include cervical, ovarian, abdominal and cesarean scar. Ectopic implantation occurs in 1 to 2 % of pregnancies and can occur in any sexually active women of reproductive age and is responsible for 10% of all pregnancy related deaths 2 .Various risk factors have been identified that lead to ectopic pregnancy which include PID, previous ectopic pregnancy, previous tubal surgery, contraceptive use and IUCD. Objectives: The objective of this study is to identify various risk factors, sites, complications, management and outcome of ectopic pregnancy. Material & Methods:This was an observational study conducted on 36 patients of ectopic pregnancy in a tertiary care centre of Govt. Medical College, Amritsar. Results: In our study, the commonest site of ectopic pregnancy was fallopian tubes (88.8%). Ampullary part accounted for 68.7% of all tubal pregnancies. Risk of ectopic increased with parity and highest risk was seen in multigravida(47.2%) . In most patients (52.7%) no risk factor was identified and there was history of PID in 22.2%. Most common management is surgical and salpingectomy was performed in 94.4% patients.

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Clinical Profile of Ectopic Pregnancy at a Tertiary Care Centre in Eastern Nepal- A Retrospective Study

A¹,

Chhetry²,

Shrestha³

et al. 2020

IRJMS

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Introduction: Ectopic pregnancy is a common life-threatening gynaecological surgical emergency. It's incidence is rising globally. It remains a major cause of morbidity and mortality in early pregnancy.The present study is aimed to determine the incidence, risk factors, clinical presentation, diagnosis, management and post-operative outcome of ectopic pregnancies in a tertiary care teaching hospital. Methods: The study was a retrospective study carried out in the

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Ectopic pregnancy an obstetric emergency: retrospective study from medical college Ambala, Haryana, India

Cited by 3 publications

References 2 publications

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

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

Ectopic Pregnancy: A life threatening emergency

Clinical Profile of Ectopic Pregnancy at a Tertiary Care Centre in Eastern Nepal- A Retrospective Study

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