Ectopic Pregnancy

Abbas, Afroza; Akram, Hina

doi:10.29309/tpmj/2011.18.01.1852

Cited by 4 publications

(1 citation statement)

References 1 publication

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“…In the present study Maternal mortality rate is zero consistent with Sudha et al 7 study and A, Abbas and H. Akram study. 14…”

Section: Discussionmentioning

confidence: 99%

A clinical analysis of ectopic pregnancies in a tertiary care centre: A one year retrospective study

Battu,

Tatikunta,

Rameshwaram

2023

IJOGR

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Following fertilization and fallopian tube transit, the blastocyst normally implants in the endometrial lining of the uterine cavity. An ectopic pregnancy occurs when a fertilized ovum implants outside the normal uterine cavity. Fortunately, beta-human chorionic gonadotropin (β-hCG) assays and transvaginal sonography (TVS) aid earlier diagnosis, maternal survival, and fertility conservation. Ruptured ectopic is a surgical emergency.To study and analyse ectopic pregnancies in a tertiary care centre.To determine the incidence, risk factors, clinical presentation, management, morbidity and mortality of ectopic pregnancy.: A retrospective analysis of ectopic pregnancies was done in Gandhi hospital, Secunderabad from October 2021 to September 2022 (1 year duration) with a sample of 97 cases of suspected ectopic pregnancies observed and treated, out of total 11252 pregnant women admitted.The incidence of ectopic pregnancy was 8 per 1000(0.81%) pregnancies, majority between the age of 20-30yrs (87.5%) and in higher order pregnancies (3or>3 pregnancies) (50.4%). Risk factors were multiparity (50.5%), h/o infertility treatment (12.3%), tubal sterilisation (7.2%). The typical triad of amenorrhoea, pain abdomen and bleeding p/v was observed in 69% of cases. In 16.4% cases the haemoglobin was <7gm% at presentation. Among 97 suspected cases of ectopic pregnancies, 90(92.7%) cases were found to have ectopic pregnancy. 27.8% of cases were presented in class 2 or more haemorrhagic shock. 79% cases were ruptured ectopic pregnancies. Ampullary ectopic pregnancies were predominant(62.9%) followed by corneal (14.6%) > fimbrial(13.4%) > ovarian(4.4%)> isthmus (2.2%). 2 women among 97 cases of suspected ectopic pregnancies were found to have Heterotopic pregnancy {tubal+intrauterine [missed abortion]}. Unilateral salpingectomy was done in 90.5% cases. Medical management was done successfully with single dose of methotrexate in 1 case. Blood transfusions were given in 69.9% cases. Post op wound complications were observed in 3.1% cases. Mortality is zero in present study.Clinicians should be aware of the fact that any women in reproductive age group presenting with pain in lower abdomen or vaginal bleeding, ectopic pregnancy should be suspected irrespective of presence or absence of amenorrhoea, whether or not she has undergone sterilization, because early diagnosis is critical in reducing maternal morbidity and mortality and improving treatment success rates.

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“…In the present study Maternal mortality rate is zero consistent with Sudha et al 7 study and A, Abbas and H. Akram study. 14…”

Section: Discussionmentioning

confidence: 99%

A clinical analysis of ectopic pregnancies in a tertiary care centre: A one year retrospective study

Battu,

Tatikunta,

Rameshwaram

2023

IJOGR

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Epidemiology of ectopic pregnancy: A cross sectional study in a sub urban teaching hospital of West Bengal

et al. 2014

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Objectives: To understand the epidemiology, prevalence of high risk factors, the mode of treatment in ectopic pregnancy (EP) cases over a largely unevaluated population. Methods: An observational, descriptive, cross-sectional study was conducted from January 2012 to December 2012 in a teaching hospital of Kalyani, West Bengal. History was taken post-operatively in all patients diagnosed with EP according to the pre designed schedule after obtaining informed verbal consent. The data was analysed using statistical formula as applicable. During this period we noted 62 cases diagnosed having ectopic pregnancy intra-operatively. The mean, standard deviation along with the p value were calculated by using SPSS 16.0 software. Results: The mean age of study population was 28.53 years, most of them were Hindus. Nearly two thirds of women were in 18 to 30 years age-group. Every four out of fi ve study subjects were from the lower or lower middle socio-economic class. Right side of the tube was affected in 59.2% patients. The occurrence of ectopic among different religion, social class, period of gestation, gravida, last child birth was signifi cant (p<0.05). Signifi cant risk factors associated with ectopic pregnancy were as follows: past history of miscarriage, use of oral contraceptive pill, pelvic and or abdominal surgery, pelvic-infl ammatory disease, infertility, ectopic pregnancy, sexually transmitted infections, use of intrauterine contraceptive devices, OCP use at the time of the present conception. Conclusions: The results pointed an increase in number of EP cases among middle aged women, Hindus, lower socio economic class, multigravida, more than four weeks of gestation suggesting that its importance as a public health problem had not diminished in these intervening years.

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A Clinical Study of Ectopic Pregnancies in a Tertiary Care Hospital of Chittagong, Bangladesh

Yeasmin

Uddin

Hasan

2014

Chatt Maa Shi Hosp Med Coll J

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Background: Motherhood, an eternal, universal and inherent dream which every woman has. This dream may not always be pleasant and it can involve nightmares. One of this is ectopic pregnancy: A pregnancy which can be life threatening. Aims : 1. To know the age group, parity, gestational age and the risk factors with re-spect to the ectopic pregnancy. 2. To know the clinical presentation of the ectopic pregnancy. 3. To know the treatment and morbidity and mortality associated with ectopic pregnancy. Materials & methods : A total of 47 admitted patients who were di-agnosed as ectopic pregnancy cases were retrospective analyzed between the periods from January 2013 to June 2014 at Chattagram Maa-O-Shishu Hospital Medical College, Agrabad, Chittagong. The following parameters: age, parity, gestational age, risk factors, clinical presentation, need for blood transfusion and findings on ultrasonogram and at surgery and morbidity associated with ectopic pregnancy were noted Results: The incidence of the ectopic pregnancy in the pres-ent study was 7.4/1000 deliveries. A majority of the cases were multigravidas and majority of the cases gestational age were six to ten weeks. In most of the cases, there were no identifiable risk factors. The commonest risk factors present were history of MR (12.7 %)and abortion (10.6), history of tubal surgery (2.2%), infertility (2.2%) and pelvic inflammatory diseases (4.2%).The commonest symptoms were abdominal pain (89.3%), amenorrhea (78.7%) and abnormal vaginal bleeding (63.5%); and commonest signs were abdominal tenderness (70.5%), cervical excitation (52.6%) and adnexal tenderness (50.4%). Almost half (45%) were in a state of shock at admission. Ultrasound, a urine pregnancy test and serum B-hCG were the investigative modalities which were used. Surgery by open method in the form of salpingectomy (92.3%), salpingo-oophorectomy (5.5%) and salpingostomy (2.1%) were the mainstay of management. Morbidity included anemia (50.9%), blood transfusion (78%) and wound infection (2.1%). No maternal mortality noted. Conclusion: Early diagnosis, identifying of underlying risk factors and timely intervention in the form of conservative or surgical treatment will help in reducing the morbidity and mortality associated with ectopic pregnancy.

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Ectopic Pregnancy

Cited by 4 publications

References 1 publication

A clinical analysis of ectopic pregnancies in a tertiary care centre: A one year retrospective study

A clinical analysis of ectopic pregnancies in a tertiary care centre: A one year retrospective study

Epidemiology of ectopic pregnancy: A cross sectional study in a sub urban teaching hospital of West Bengal

A Clinical Study of Ectopic Pregnancies in a Tertiary Care Hospital of Chittagong, Bangladesh

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