|Ruptured Ectopic Pregnancy at Tertiary Care Centre: A Cross-sectional Study|
|Shobha Shiragur1, Preeti Patil1, Praveen Ganganahalli2, Muttappa Gudadinni2, Shailaja Bidri1, Aruna Biradar1, Rajasri Yaliwal1|
|1Department of OBGYN, BLDE (DU) Shri B. M. Patil Medical College Hospital and Research Center, Vijayapura, Karnataka, India
2Department of Community Medicine, BLDE (DU) Shri B. M. Patil Medical College Hospital and Research Center, Vijayapura, Karnataka, India
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Keywords : Ectopic pregnancy, Salpingectomy, Abdominal pain
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Objectives: Ectopic pregnancy (EP) is the leading cause of early pregnancy accounting for 10-15% of pregnancy-related deaths. It is life-threatening condition where the majority of them present late. This study aims to evaluate the incidence, risk factors, clinical features, diagnosis, and management of EP in the tertiary care center.
Materials and Methods: This was a retrospective analysis of EP from June 2015-June 2020 from Medical record section of 18 to 45 years age group participants. The data were analysed with simple descriptive statistics and presented in frequency tables and charts of age group, parity, anemia grades, risk factors and presenting symptoms.
Results: The incidence of EP in the current study was 0.38%. In the present study, 73.8% of women were of 20–30-year-old. In this study, 54.1% of women had a history of pelvic inflammatory disease (PID). Prior EP was seen in 19.7 % of cases. 16.4% of participants had a prior history of tubectomy and 19.7% had a previous history of infertility treatment, and 21.3% had a previous history of lower segment caesarean section (LSCS). In the present study, 65.5% of women presented with amenorrhea of 4-8 week, and 95% had abdominal pain. In the present study, common site was the right fallopian tube in 73.9% of cases. In this study, all cases need surgical management most common procedure carried out was salpingectomy. intensive care unit (ICU) admission was needed in 26.2% of cases, and no mortality was seen in our study.
Conclusion: EP is life-threatening condition, and early diagnosis and management can reduce maternal mortality and morbidity.
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