Volume : IX, Issue : IV, April - 2020
ANALYSIS OF STRATEGIES ADOPTED IN MANAGEMENT OF ECTOPIC PREGNANCIES TO ARRIVE AT NIL MORTALITY IN TERTIARY CARE HOSPITAL
Suresh Kanakannavar, Ravikumar G V
Abstract :
INTRODUCTION: Ectopic pregnancy is a life–threatening condition. Rising trend in incidence of ectopic pregnancies necessitates awareness about risk factors, resultant morbidity and mortality. AIMS & OBJECTIVES: Aim of the study was to determine the incidence, clinical presentation, risk factors, morbidity and mortality associated with ectopic pregnancy at tertiary care hospital. MATERIALS METHODS: Retrospective analysis of ectopic pregnancy was done in dept. of OBG, Vanivilas Hospital, Bangalore medical college and research institute from Sept–2016 to Sept–2018. The following parameters: age, parity, gestational age, risk factors, clinical presentation, site of ectopic, mode of treatment and morbidity were noted. RESULTS: Out of 30725 deliveries, 294 were ectopic pregnancies (0.89 %). Ruptured were 256(87.07%) and un–ruptured were 38 (12.92%). 9 un–ruptured ectopic pregnancies ended in laparotomy.Women with age 20–30yrs had highest incidence (51.7%), more than 30yrs had (41.83%) and with least below 20yrs (6.46%). Ectopic pregnancies were common in multiparous (85.03%) women than primigravida (14.97%). Common symptoms: abdominal pain (86.04%), amenorrhea (93.87%), bleeding per vagina (5.14%), asymptomatic (6%) patients. Urine pregnancy test positive in 94.89%. etiology was pelvic infection (18.02%), infertility (7.01%), previous ectopic (8.84%), contraception (5.78%), tubal surgeries like tubectomy (11.56%, BAT 4.36% and LTO 7.20%). Right sided ectopic (67.00%) was more common. Site of ectopic: Common in fallopian tube– ampullary region (59.86%), cornual (8.16%), isthmus (12.58%), fimia (3.74%), followed by ovarian ectopic (1.36%) then cervical (0.34%), rudimentary horn pregnancy (0.68%). About 87.07% of ectopic was ruptured, half of these patients presented with shock at the time of presentation. Tubal abortions were seen in 19.04% of patients. Most of cases being ruptured ectopic pregnancies, salpingectomy in 89.05% and salpingo–opherectomy in 1.02% was done. Morbidity was blood transfusion (87.75%), wound complications 4.76% and mortality rate was nil. CONCLUSION: Early diagnosis, identification of underlying risk factors and timely intervention in the form of conservative or surgical treatment will help in reducing the morbidity and mortality associated with ectopic pregnancy.
Keywords :
Article:
Download PDF
DOI : 10.36106/ijsr
Cite This Article:
ANALYSIS OF STRATEGIES ADOPTED IN MANAGEMENT OF ECTOPIC PREGNANCIES TO ARRIVE AT NIL MORTALITY IN TERTIARY CARE HOSPITAL, Suresh Kanakannavar, Ravikumar G V INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-9 | Issue-4 | April-2020
Number of Downloads : 146
References :
ANALYSIS OF STRATEGIES ADOPTED IN MANAGEMENT OF ECTOPIC PREGNANCIES TO ARRIVE AT NIL MORTALITY IN TERTIARY CARE HOSPITAL, Suresh Kanakannavar, Ravikumar G V INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-9 | Issue-4 | April-2020
Our Other Journals...
-
Indian Journal of
Applied Research Visit Website -
PARIPEX Indian Journal
of Research Visit Website -
Global Journal for
Research Analysis Visit Website