Publication:

Comprehensive management of ectopic pregnancy at a tertiary care hospital

Background The study was conducted to determine incidence, common type, risk factors, clinical presentation and to formulate standard management protocol of ectopic pregnancy in our hospital.

Methods This study was a prospective observational study conducted at the department of obstetrics and gynecology, SVBP Hospital, LLRM Medical College, Meerut.

Results In our study, 52 patients were diagnosed with ectopic pregnancy making incidence of 1.06%. Majority 50% of cases were within the 25-30 years and were multiparous gravida 4 (25%). The leading risk factor was history of previous abdomino-pelvic surgery (11.54%). Majority of cases had tubal ectopic pregnancy (80.8%) and there were 4 cases of caesarean scar ectopic followed by 1 case of heterotopic pregnancy. In our study 100% of cases presented with amenorrhoea, lower abdominal pain in 80.7% cases and bleeding per vagina in 17.31% cases. Majority of patients (81.82%) were managed surgically. 39 cases had unilateral salpingectomy out of which 11 had contralateral tubal ligation done. Salpingotomy was done in 1 case. 4 cases had surgical removal of caesarean scar ectopic. 18.18% cases received medical management.

Conclusions Early diagnosis, better health care facilities, management and blood availability help in reducing mortality rates.