A CLINICAL STUDY DEPICTING THE VAST SPECTRUM OF ECTOPIC PREGNANCY IN TERTIARY CARE CENTRE

Sonakshi Pandey; Rehana Najam; Kanchan Rani; Astha Lalwani

Volume : VIII, Issue : II, February - 2019

A CLINICAL STUDY DEPICTING THE VAST SPECTRUM OF ECTOPIC PREGNANCY IN TERTIARY CARE CENTRE

Sonakshi Pandey, Rehana Najam, Kanchan Rani, Astha Lalwani

Abstract :

BACKGROUND-Ectopic pregnancy is a catastrophe and life terrifying condition. In the past two decades, the prevalance of ectopic pregnancy has been increasing dramatically, worldwide. Objectives of present study were to know the incidence of ectopic pregnancy at tertiary care centre ,its socio demographic character and their experience regarding clinical presentation, risk factor, management and the consequences of ectopic pregnancy.METHODOLOGY:Prospective study of all cases of ectopic pregnancy admitted in TMU, Moradabad in OBG department .Study was done from January 2017 to August 2018.RESULTS:A total of 74 patients were admitted with provisional diagnosis of ectopic pregnancy from January 2017 to August 2018. Risk factors were found in 70% of cases and the major contributors were PID and infertility. Other contributing factors are history of IUCD insertion ,previous ectopic, ART, previous history of abortion .Out of 74 patients, 20 patient were immediately taken for laparotomy based on clinical diagnosis, as they came with shock and rest 54 patient was hemodynamically stable. Out of which 12 of them were managed conservatively depending on USG findings & beta-HCG levels. Surgical treatment was performed in all the remaining 42 patients. CONCLUSION: As the incidence of ectopic pregnancy has been on the rise,especially in high risk cases,but with the revolution in the treatment options mortality has reduced significantly now a days. Early diagnosis and early intervention are required to enhance maternal survival and conservation of reproductive capacity