Publication:

A study on management, morbidity and mortality of ectopic pregnancy attending a tertiary care centre at Rajiv Gandhi Institute of Medical Sciences General Hospital, Kadapa, Andhra Pradesh, India

Background Ectopic pregnancy is one of the life threatening condition, and catastrophic. It is commonest acute abdominal emergency in practice. The aim of the study was to study the management modalities and their outcome, morbidity and mortality in women with ectopic pregnancy.

Methods This prospective study conducted in the Department of Obstetrics and Gynaecology at RIMS General Hospital, Kadapa for a period of 2 years. 50 cases of ectopic pregnancy were diagnosed and recruited for the study. TVS / TAS was done to diagnose and also to ascertain the severity of the condition. Apart from routine surgical profile, β-hCG assay was also performed.

Results Out of 50 patients, 45 (98%) patients were managed by laparotomy, 4 patients were by laparoscopically, one patient was successfully managed by medical therapy. The most common site for ectopic was found in ampulla in 32 (68%) patients, followed by isthmus 6 (12.24%), ovary 5 (10.2%), interstitial 1 (2.04%), cornua 2 (4.08%), fimbria 1 (2.04%) and infundibulam 2 (4.08%). In our study group about morbidity, 48 cases post operative period was uneventful, 2 (4%) cases were admitted in ICU.

Conclusions Early diagnosis of ectopic pregnancy and prompt conservative surgical or medical management is needed to reduces maternal morbidity and mortality and also helps in preserving fertility.