CLINICAL STUDY OF ECTOPIC PREGNANCY IN A TERTIARY CARE CENTER

Abstract

Introduction: Fertilized ovum may lodge in any portion of the fallopian tube giving rise to ampullary, isthmic and interstitial tubal pregnancy. Ampulla is the most common site followed by isthmic region. As the fallopian tube lacks submucosal layer, fertilized ovum promptly burrows through the epithelium, zygote comes to linear or within the muscularis. Embryo or fetus is often absent or stunted. Risk factors: previous ectopic pregnancy, fertility restoration, tubal infections, congenital fallopian tube defects , Infertility treatment. Classic presentation includes Triad of Delayed menstruation; Pain; Vaginal bleeding or spotting. Objectives: To study risk factors, clinical features and management of ectopic pregnancy. Methods: Retrospective study done in Department of Obstetrics and Gynaecology at Government General Hospital , Guntur from January 2022 to June 2022. Sample size- 25. Results: Out of 25 Ÿ Ruptured ectopic pregnancy 56% Ÿ Unruptured ectopic pregnancy – 28% Ÿ Tubal abortion – 16%. Based on site on the fallopian tube Ÿ Ampulla -48% Ÿ Isthmic – 20% Ÿ Fimbrial - 16% Ÿ Cornual - 8% Ÿ Ovary – 8% Procedure: Ÿ Laparotomy with total salpingectomy -44% Ÿ Laparotomy with partial salpingectomy-28% Ÿ Laparotomy with salpingo-opherectomy-12% Ÿ Laparoscopic salpingostomy-4% Ÿ Laparoscopy with partial salpingectomy – 4% Ÿ Laparoscopy with unilateral oopherectomy-4% Ÿ Laparoscopy with salpingoopherectomy +left side tubal ligation-4% Conclusion: With early diagnosis and management of ectopic pregnancy, maternal morbidity and mortality can be decreased upto large extent.