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Indian Journal of Obstetrics and Gynecology

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Clinical Presentation and Management of Ectopic Pregnancy in Tribal Population in South Rajasthan and Co-Relation with High Prevalence of Sexually Transmitted Diseases

P.K. Bhatnagar* , P.K. Bhatnagar* , Sushila Jain**

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Indian Journal of Obstetrics and Gynecology 4(1):p 11-16, January - April 2016. | DOI: DOI: https://dx.doi.org/10.21088/ijog.2321.1636.4116.2

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Abstract

ECTOPIC PREGNANCY “ A GREAT DECEIVER “ may present with  varied symptoms  and signs []. BETA HCG and ULTRASONOGRAPHY has revolutionized the diagnosis of ectopic pregnancy  and this has drastically reduced maternal morbidity and mortality[2]. Still in rural, unaware   , malnourished and severely anemic population it poses diagnostic and management dilemma.  This is   retrospective study, carried out at  PIMS (Pacific Institute of Medical Sciences Umarda, Udaipur, Rajasthan)  in 2014 and 2015. Total 32 cases were analyzed. 26(81.25%) had pelvic infection either acute or chronic including sexually transmitted diseases and post abortal and previous tubercular infections. All patients had pain in the abdomen, 28(87.50%) had history of amenorrhea and 26(81.25%) had uterine bleeding.   USG in 28(87%) was suggestive of fluid/clots in peritoneum or tubo -ovarian Mass. However Urine Pregnancy Test/Beta HCG were positive in 25(78.13%). Salpingectomy was the most common surgery done in 31(98.67 %). There was no negative laparotomy in this study. There was no maternal mortality in this series.  Prevention of sexually transmitted diseases, pelvic infection, early diagnosis and prompt treatment helps in reducing mortality and morbidity.

Keywords: Ectopic Pregnancy; Sexually Transmitted Diseases In Ectopic Preg Ruptured Ectopic Prgnancy; Haemoperitoneum; Conservative Surgery For Tubal Pregnancy; Salpingostomy; Salpingectomy; Salpingo-Opherectomy.

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DOI: DOI: https://dx.doi.org/10.21088/ijog.2321.1636.4116.2

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