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Indian Journal of Obstetrics and Gynecology

Volume  7, Issue 2, April-June 2019, Pages 209-212
 

Original Article

Management and Outcome of Ectopic Pregnancy: A Retrospective Study

Trupti Nayak

Associate Professor, Department of Obstetrics & Gynaecology, Shri M.P. Shah Medical College, Jamnagar, Gujarat 361008, India.

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DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.7219.15

Abstract

Background and Aim: An ectopic pregnancy occurs when a fertilized ovum implants outside the normal uterine cavity. Present reroseptive study was performed to determine the clinical features, risk factors, treatment and morbidity and mortality associated with ectopic pregnancy in a tertiary care hospital. Material and Methods: A Retrospective study was conducted in the gynaecology and Obstetrics (G & O) ward of the hospital from July 2006 to May 2010. Two researchers of this study were from same unit of G & O department of the study hospital. All the cases diagnosed intra operatively as ectopic pregnancy (EP) were considered as final study population and included in the study. After the patient became stable, history taken post-operatively as per pre designed and semi structured proforma. Results: Out of 103 women, 45 (69%) from urban area, 14 (13.59%) from rural area and 44 (42.72%) data was not available. Out of 104 women, 46 (44.66%) in 19-25 age group. Out of 103 women 11 (10.68%) women tested for VDRL and reported negative and 7 (80%) women tested for HIV and reported negative. Per operatively 4 women (3.88%) had omental adhesions, 3 (2.91%) had intestinal adhesion and 2 (1.94%) had tuboperional adhesions and 1 (0.897%) had chocalate cyst. Paracentesis 2 (1.94%) cases and culdocentesis in 1 (0.97%) noted. Conclusion: In our study, there is higher chances of occurrence of ectopic pregnancy in case of Lap TL (11 cases) abdominal TL (7 cases) 17.48%) and with past H/o Cu-T usage are 11 cases (10.68%). More mode of treatment was salpingectomy. Total mortality 1 case (0.97%) occurred during the study ruptured due to of ectopic.


Keywords : Diagnostic scopy; Ectopic pregnancy; Salpingectomy; TVS, UTP.
Corresponding Author : Trupti Nayak