Profile study of ectopic pregnancy at Department of Obstetrics and Gynecology, Dr. Soetomo Hospital, Surabaya, Indonesia

Abstract

Objective: Ectopic pregnancy is a leading cause of maternal death during the first trimester of pregnancy, it can cause infertility and even death as a result of massive bleeding of the mother. Based on those fact, study of ectopic pregnancy is needed.Materials and Methods: This study used retrospective design and total sampling to collect the data and present it as a descriptive – analytical result.Results: Of the 98 samples, as many as 30.6% of the patients age was in the range of 26 - 30 years, there was 16.3% of patients with unmarried status, hormonal contraception was more often used by patients than intrauterine device, there were 7% of patients with recurrent ectopic pregnancy, as many as 12.1% of patients had a history of surgery in the abdomen or pelvic area, ectopic pregnancy was most common in first pregnancies, and there were 26.4% of patient found with Infection.Conclusion: Ectopic pregnancy has many risk factors, Ectopic pregnancy could be cause by solely one risk factor or more (multifactorial), The most commonly found risk factor was infection.

Unusual Location: Omental Ectopic Pregnancy Killing Me Slowly

“…Of the 98 samples, 30,6% of the patients had a range of 26-30 years, the use of hormonal contraception was found more often than an intrauterine device, 7% of patients were repeat cases, 12,1% of patient had a history of surgery in the abdominal or pelvic area, and most ectopic pregnancies were found in the first pregnancy and as many as 26,4% of patient accompained by aggravating infection. 14 Women with an ectopic pregnancy will complain of pelvic pain, but not all ectopic pregnancies will have this feature. Women of reproductive age who complain of pelvic pain, abdominal pain, nausea/vomiting, dizziness, and vaginal bleeding should be determined whether the patient is pregnant.…”

Successful management of an unruptured extrauterine pregnancy in a woman with a history of prior miscarriage in Indonesia: a case report

“…1,11,12 In this case, the patient underwent a curettage procedure for her miscarriage history, which, although rare, had previously been recorded as a risk factor of ectopic pregnancy. 9 The diagnosis can then be confi rmed with positive serum β-hCG levels and ultrasound. Transvaginal ultrasound may be used to diagnose ectopic pregnancy during 5-9 weeks GA, with positive signs such as a sac of gestation that contains a fetal pole and heartbeat in the adnexal structure.…”

“…8 Indonesia is a developing country with around 5 million live births annually, with ectopic pregnancy happening in approximately 60.000 pregnancies annually. 9 Our center, dr. Soetomo General Hospital is a tertiary-level referral hospital managing about 600 births in 2021. A previous study in our center found 98 patients with ectopic pregnancy in 2 years (2013-2014).…”

“…Mostly came with ruptured ectopic pregnancy and life-threatening hemorrhagic shock. 9 Currently, no previous estimate exists on the rate of unruptured ectopic pregnancy and ectopic pregnancy-related complications in Indonesia. A systematic search in signifi cant databases also confi rmed that there is no case report of unruptured tubal pregnancy from Indonesia which from the technical aspects perfomed minimally invase approach with laparoscopy and performed chromopertubation.…”

Intensive Strategy Resuscitation of Hemorrhagic Shock Patients with Ectopic Pregnancy in the Intensive Care Unit: A Case Report

“…Because ectopic pregnancies can be lifethreatening if the ectopic pregnancy is not treated properly, patients need to be treated as properly and quickly as possible with medication or surgery. [1][2][3][4] Ectopic pregnancy is a common occurrence in all women of reproductive age. Doctors should be aware of the possibility of ectopic pregnancy in female patients of reproductive age.…”