Incidence and clinical profile of ectopic pregnancies in a tertiary hospital; A two-year Retrospective study

Gyamtsho, Sonam; Tenzin, Karma; Choeda, Tshering; Lhaden, Karma; Om, Tandin

doi:10.47811/bhj.103

Cited by 5 publications

(5 citation statements)

References 15 publications

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“…In our study, the commonly performed procedures were ovarian cystectomy, salpingectomy, and diagnostic laparoscopy in the age group 25-44 years. This is in agreement with other studies as most of the benign ovarian pathologies, ectopic and reproductive issues occur in this age group [14,16,17]. The moderate to complex procedures like ovarian cystectomy and TLH contributed to a longer operating time.…”

Section: Discussionsupporting

confidence: 92%

Setting up minimal invasive surgery services in gynecology in a resource-limited setting: an experience from Bhutan

Tshering¹,

Dorji²,

Dorji³

et al. 2022

BMC Res Notes

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Objective To describe the clinical profile of minimal invasive procedures performed in gynecology at the national referral hospital in Bhutan. A review of such procedures performed in gynecology was needed to assess the baseline information and generate our own experience. We conducted a descriptive study with a review of hospital records of minimal invasive procedures performed from 1st January to 31st December 2020 at the Department of Gynecology. Data were extracted into a structured pro forma. Descriptive statistics were used to express the results. Results The mean age of the patients was 33.9 ± 8.6 years of which the maximum was in the age group 25–34 years. 28 (17.5%) and 132 (82.5%) patients underwent emergency and elective procedures respectively. 142 (88.8%) and 18 (11.2%) patients underwent laparoscopic and hysteroscopic procedures respectively. Ovarian cystectomy was the most commonly performed procedure. The median operating time was 100 min (IQR 62.5–157.5). The overall complication rate was 2.5%. The median postoperative length of hospital stay was 24 h (IQR 3–24). Using our data and experience, we recommend a new health policy to recognize MIS in gynecology as a subspecialty and strengthen the existing service in gynecological MIS.

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Section: Discussionsupporting

confidence: 92%

Setting up minimal invasive surgery services in gynecology in a resource-limited setting: an experience from Bhutan

Tshering¹,

Dorji²,

Dorji³

et al. 2022

BMC Res Notes

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“…We found 25% (18 cases) nullipara, 38% (28 cases) primipara, and 36% (26 cases) multipara. In a study by Gyamtsho, et al, [12] 20.19% cases were unmarried while 79.81% cases were married. Majority of the patients were multipara in studies conducted by Behera, et al [13] (48.4%).…”

Section: Discussionmentioning

confidence: 88%

Clinical profile and outcome of ectopic pregnancy in tertiary care hospital

Dwivedi¹,

Gupta²,

Vij³

2023

Int. J. Clin. Obstet. Gynaecol.

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Introduction: Ectopic pregnancy is a common life-threatening gynaecological surgical emergency. Its incidence is rising globally and remains a major cause of morbidity and mortality in early pregnancy. The present study is aimed to determine clinical profile and outcome of ectopic pregnancies in a tertiary care teaching hospital. Methods: After protocol review committee and institutional ethics committee permission, this prospective observational study was conducted in the OBG department of Dr Rajendra Prasad Government Medical College in Tanda on pregnant women in their first trimester with ectopic pregnancy characteristics and diagnosis. The study covered all prenatal clinic and labor room patients who met the selection criteria from February 2020 to January 2021. Results: The most common USG finding of adnexal ectopic mass was detected in 97.2% (70 cases), out of which adnexal mass with mild free fluid in the pouch of Douglas on TVS was detected in 77.7% (56 cases). The presence of fluid in peritoneal cavity (Morrison pouch on TAS) indicating severe hemoperitoneum was detected in 20.8% (15 cases). Most common site of ectopic pregnancy was in the tubal ampullary region in i.e., 45.5% (30 cases), followed by isthmus 18.2% (12 cases), fimbria end of the tube 10.6% (7 cases) and isthmus-ampullary region in 10.6% (7 cases). Medically managed patients were 15.2% (10 cases) & their exact site of tubal ectopic was not known. The patients who were presented with ruptured tubal ectopic pregnancy were 63.6% (42 cases), unruptured tubal ectopic were 21.2% (14 cases), chronic ectopic were 7.5% (5 cases) and tubal abortion were 6.06% (4 cases). Conclusion: Ectopic pregnancies are common and deadly gynecological emergencies. Late diagnosis and referral cause high ruptured ectopic pregnancy rates in developing nations.

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“…In contrast to existing literature, demographic variables such as maternal age, gravidity, previous miscarriages, BMI, and level of education did not differ significantly among the groups studied. [13][14][15][16] This could be attributed to our effort to minimize selection bias. The majority of ectopic pregnancy cases presented with abdominal pain and were related to ruptured tubal pregnancies.…”

Section: Discussionmentioning

confidence: 99%

Relationship of IL-6 and IL-8 levels with tubal ectopic pregnancy

Kadhim,

Khazaali

2023

Int J Reprod Contracept Obstet Gynecol

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Background: The frequency of ectopic pregnancy (EP) has increased worldwide during the last 30 years, particularly in underdeveloped countries with low early diagnostic rates. Ectopic pregnancy is the major cause of first-trimester deaths. Interleukins are immunomodulatory cytokines that modulate inflammatory responses and help humans conceive. Aim of the study was to evaluate the predictive value of interleukin-6 and interleukin-8 in tubal ectopic pregnancy. Methods: This case control research was undertaken in the Department of Obstetrics and Gynaecology at Al-Emamein Al-Kadhemein Medical City/Baghdad from January 1, 2022 to January 1, 2023. The study analysed 30 patients with missed cycles, positive β-HCG tests, vaginal bleeding, and ruptured tubal ectopic pregnancy diagnosed via transvaginal ultrasound (group A) and 30 patients with intrauterine missed miscarriage (group B). The control group (group C) included 30 ladies with uncomplicated intrauterine pregnancies of matched gestational age. Results: Interleukin-6 was substantially greater in ectopic pregnancy than miscarriage and normal intrauterine pregnancy. Ectopic pregnancy and miscarriage had higher levels of interleukin-8 than normal intrauterine pregnancy, but there was no difference. Interleukin-6 levels ≥76.1 pg/ml were linked to 90% sensitivity and 85% specificity in predicting ectopic pregnancy. Interleukin-8 was neither sensitive nor specific for ectopic pregnancy. Conclusions: Measurement of IL-6 may have a predictive value in cases of ruptured tubal ectopic pregnancy. IL-8 was a poor predictor for ectopic pregnancy.

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Incidence and clinical profile of ectopic pregnancies in a tertiary hospital; A two-year Retrospective study

Cited by 5 publications

References 15 publications

Setting up minimal invasive surgery services in gynecology in a resource-limited setting: an experience from Bhutan

Setting up minimal invasive surgery services in gynecology in a resource-limited setting: an experience from Bhutan

Clinical profile and outcome of ectopic pregnancy in tertiary care hospital

Relationship of IL-6 and IL-8 levels with tubal ectopic pregnancy

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