Clinical analysis of ectopic pregnancy in a tertiary center in rural Telangana

Authors

  • N S Sai Anusha Mamata Medical College, Khammam -507002, Telangana, India
  • Basanta Manjari Hota Mamata Medical College, Khammam -507002, Telangana, India
  • Naimisha Movva Mamata Medical College, Khammam -507002, Telangana, India

DOI:

https://doi.org/10.3126/njog.v17i2.52373

Keywords:

ectopic pregnancy, hysterotomy, implantation, laparotomy

Abstract

Aims: To find the incidence, risk factors, morbidity and mortality in ectopic pregnancy in a tertiary center in rural Telangana.

Methods: This retrospective observational study was conducted in the Department of Obstetrics and Gynecology, Mamata Medical College, Khammam, Telangana State, India, over 5 years from 2017 to 2021. Detailed informative data of all admitted and treated cases of ectopic pregnancy were collected, analyzed and discussed.

Result: The incidence of ectopic pregnancy was 1.3 per 100 pregnancies and 2.5% case fatality. The majority of cases were in the 20-30 years of age group (82.5%); multipara (50%) and gestational age of ≤ 8 weeks (62.5%). History of abortion was the most common risk factor (67.5%). The classical triad of amenorrhoea, pain abdomen and bleeding per vagina was present in 45% of cases; and amenorrhea (97.5%), pain abdomen (87.5%) and vaginal bleeding (42.5%), abdominal tenderness (85%) and unstable hemodynamic (22.5%) were reported. The fallopian tube was the commonest site and operative management was required in 97.2% of cases.

Conclusion: Prevention of known risk factors, early reporting and referral in need, diagnosis and effective management is the way to a better outcome in ectopic pregnancy.

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Published

2022-12-31

How to Cite

Anusha, N. S. S., Hota, B. M., & Movva, N. (2022). Clinical analysis of ectopic pregnancy in a tertiary center in rural Telangana. Nepal Journal of Obstetrics and Gynaecology, 17(2), 37–42. https://doi.org/10.3126/njog.v17i2.52373

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Section

Original Articles