A RETROSPECTIVE STUDY ON TRENDS OF ECTOPIC PREGNANCY WITH HISTOPATHOLOGICAL EXAMINATION.

Abstract

Ectopic Pregnancy refers to implantation of fetus in a site other than normal intrauterine cavity,this includes sites like fallopian tube ,ovaries, abdominal cavity. Ectopic pregnancy accounts for 2% of conrmed pregnancy. This is one of the leading causes of mortality in the rst trimester of pregnancy. Timely diagnosis is extremely crucial as delay in diagnosis can lead to mortality. Histopathological examination is required for conrmation of ectopic pregnancy by identifying trophoblastic tissue in ectopic location, since there are other conditions which can have similar presentation clinically. Materials And Methods: This is a retrospective study conducted on 2 years data collected from January 2021 to December 2022.Clinical details like age of the patient, parity, gestational age were obtained from patients from the available data and the its entry is made in MS Excel sheet. Total of 90 cases(100%) were analyzed in this study and Results: most women with ectopic pregnancy were between the age group of 20 - 25 years 48 cases (53.3%)and presented in 2nd pregnancy 39 cases(43.3%) and most common in 6th week of gestation 29 cases(31.1%) with fallopian tube as the most common site 89 cases (98.8%)and most common on right side of fallopian tube 64 cases(71.1%) with ruptured ectopic pregnancy 57 cases (63.3%)with a total of 8 cases(8.8%) showed no evidence of trophoblastic tissue. Ectopic pregnancy is most common in w Conclusion: omen between 20 to 25 years, in 2nd pregnancy and in 6th week of gestation with most common site of right sided fallopian tube. Ectopic pregnancy was conrmed on histopathological examination on 82 cases.A total of 8 cases showed no evidence of trophoblastic tissue were reported as haematosalpinx and chronic salphingitis which are clinically mimicking ectopic pregnancy.