TITLE:
Profile of Ectopic Pregnancy in Tertiary Level Hospital in Uttarakhand, India
AUTHORS:
Neeta Bansal, Anuja Nanda, Vineeta Gupta
KEYWORDS:
Ectopic, Pregnancy, SGRRIMHS
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.5 No.4,
March
27,
2015
ABSTRACT:
Introduction: Ectopic pregnancy is an
emergency in obstetric wards and a significant cause of maternal morbidity and
mortality. Incidences of ectopic pregnancy are increasing. Life can be saved
with quickness and alertness. Objective: The objective of this study is to find
out and evaluate the incidence, clinical presentation, risk factors, and
management outcomes of ectopic pregnancies at Sri Guru Ram Rai Institute of
Medical and Health Sciences (SGRRIMHS), Dehradun, Uttarakhand, India. Method:
We did a retrospective study of the patients admitted in our hospital (SMI
Hospital, SGRRIMHS) and study period was January 1, 2004 to December 31, 2013.
Medical records were studied for management, total admission in obstetric
wards, total births. Data were collected with the aid of data-entry forms
designed for study. There were 4040 ANC patients admitted, out of which 202
cases were ectopic pregnancies. The relevant data collected were analyzed with
SPSS for Windows. Result: Ectopic pregnancy constituted 5.0% of all ANC cases
admitted in our Hospital. The mean age of patients was 25±2
years, 192 of 202 (95.04%) had ruptured pregnancies, and remaining 10 (4.96%)
were unruptured. The commonest clinical presentation was abdominal pain (162 of
20280.19%). The commonest (120 of 202, 59.4%) cause was past history of induced
abortion. 4 deaths (1.98%) were recorded. Conclusion: Ecotopic pregnancy is
common and recognized cause of maternal morbidity and mortality. It is a
recognized risk of induced abortion.