18. A Retrospective - Two Years Study of Ectopic Pregnancy in a Tertiary Care Hospital
Aneela Gul Shaikh and Sabahat Fatima Shah
ABSTRACT
Objective: To determine the frequency, clinical presentation of ectopic pregnancy and asses the management with
respect to morbidity and mortality.
Study Design: Descriptive Study
Place and Duration of Study: This study was conducted at the Department of Obstetrics and Gynecology, KMC Civil Hospital, Khairpur Mir’s from August 2014 to July 2016.
Materials and Methods: A total of 60 cases diagnosed with ectopic pregnancy were included in this study. Data was collected from case sheets and operative registers, the data was analyzed with descriptive statistics.
Results: In two years review period, there were total of 11053 deliveries, 7743 gynecological admissions and 60 cases of ectopic pregnancies recorded. This give a frequency of ectopic pregnancy 0.5% of total deliveries and 0.7% of gynecological admission. The majority of patients were 20 to 30 years (n=36,60%), it was noted more cases in multigravida (n=30,50%). Almost all patients came with abdominal pain (n=59,98%) whereas history of amenorrhea present in 93% and fainting attack was found in 66% of patients. Ectopic pregnancy was founded to be ruptured in 98% cases, all were tubal ectopic except one case which was abdominal pregnancy. La arotomy done in all cases. In relation to morbidity, anemia was present in 83% of cases and blood transfusi n was done in 50cases. There was no mortality in this study.
Conclusion: Ectopic pregnancy was found in multigravida. Abdominal pain was the only symptoms which was present in almost all patients due to rupture ectopic pregnancy. In rder to reduce morbidity there is need of a thorough clinical evaluation and appropriate investigation for patient with high suspicious of ectopic pregnancy so that our poor patients can be benefited by recent therapeutic modalities with avoidance of open surgery and better fertility conservation.
Key Words: Ectopic pregnancy, Fallopian Tube, Ultrasonography
Citation of articles: Shaikh AG, Shah SF. A Retrospect ve - Two Years Study of Ectopic Pregnancy in a Tertiary Care Hospital. Med Forum 2017;28(7):75-77.