Annual audit of ectopic pregnancy in tertiary care hospital

Abstract

Ectopic pregnancy is a well-known entity whenever maternal mortality and now, maternal near miss cases are analysed. It needs to be diagnosed emphatically and early before it lays its hands on patient’s life. Aims and Objectives: To analyze the demographic profile, risk factors, clinical presentation, USG diagnosis/findings, outcomes and management of ectopic pregnancy in tertiary care hospital. Material and Methods: A prospective study of patients admitted with diagnosis of Ectopic pregnancy either by USG or clinically in labour room of Government Medical College and Rajindra Hospital Patiala from July 2017 to June 2018 was done. Results: The incidence of ectopic pregnancy came out to be 1.64%. 71.08% were managed surgically, 21.69% medically and 7.23% were managed conservatively. TVS picked up tubal pregnancy in 80.7% of patients. Cornual, ovarian and caesarean scar pregnancy was identified in 3.6%, 8.4% and 2.4% of the patients respectively. Intraoperatively 76.2% patients had ruptured tubal ectopic, 5.1% each had tubal abortion and cornual pregnancy, 6.8% ovarian pregnancy and interstitial and secondary abdominal pregnancy was found in 1.7% each. There was 3.4% incidence of caesarean scar pregnancy. There was no mortality and 8.4% fulfilled criteria of maternal near miss. Conclusion: USG has replaced the diagnostic laparoscopy for the diagnosis of ectopic pregnancy. Early diagnosis and management of ectopic pregnancy can help reduce maternal morbidity. Caesarean scar pregnancy is rising in incidence and needs to be addressed with judicious use and audit of primary caesarean sections.