Abstract
An ectopic pregnancy is one in which fertilized ovum is implanted at the site other than normal uterine cavity.[1] Incidence of ectopic pregnancy is 1:160 deliveries.[2]Clinical presentation is variable from acute to chronic type. Due to its varied clinical presentation ectopic pregnancy poses great diagnostic difficulty both to obstetrician, physician and surgeons.[3] OBJECTIVE: To find out incidence in our study population and to evaluate symptomatically and clinical presentation in these patients. MATERIALS AND METHODS: Retrospective study of 34 ectopic pregnancies admitted and treated in Al-zahra Teaching Hospital from 2015 to 2020 are included in the study. RESULTS : The incidence of ectopic pregnancy is more between the age group of 21-30years (73.52%) and in Multigravida 64.71%. Infertility and previous tubal surgery are the high risk factors for tubal pregnancy. Pain in abdomen was present in all 34 cases, amenorrhea in 97.05% and bleeding per vagina in 76.47% cases. Syncopal attacks, vomiting were detected in 14.70% cases. Acute ectopic pregnancy was detected in 14.71% and chronic in 85.29% cases. 82.35% cases presented with adnexal mass, 79.41% with cervical motion tenderness, 50% with pallor, 32.35% with abdominal lump and tenderness and 11.76% with fullness in POD. CONCLUSION : Ectopic pregnancy is leading cause of maternal mortality in first trimester. In spite of advanced diagnostic techniques. It poses great diagnostic difficulties due to varied signs and symptoms. Previous tubal surgery pelvic inflammatory disease and infertility are the risk factors of tubal pregnancy. KEYWORDS : Ectopic pregnancy, Salpingectomy, Ovarian pregnancy. DOI: 10.7176/JHMN/81-03 Publication date: October 31 st 2020
Highlights
Ectopic Pregnancy is one in which fertilised ovum gets implanted at the site other than normal uterine cavity.[1]
In the present series 5(14.71%) cases were taking treatment for infertility and previous ectopic was found in 2.94% cases. 4 cases had undergone tubectomy in the past (11.76%) and in 2 cases tubal recanalization was done. this shows that Infertility and previous tubal surgery is the high risk factor for tubal pregnancy. in the study conducted by Rashmi et al in June 2012 there was history of tubectomy in 16.21% cases and 16.21% had history of infertility and previous ectopic pregnancy was found in 2.7%.[6] in our study history of previous ectopic were in 2.94% cases
In the present series acute ectopic pregnancy was detected in 14.71% and chronic in 85.29% cases showing chronic ectopic has a most common clinical presentation in ectopic pregnancy
Summary
Ectopic Pregnancy is one in which fertilised ovum gets implanted at the site other than normal uterine cavity.[1]. Foetal bones were extruded from umblicus in this case and was a case of secondary abdominal pregnancy. Incidence of ectopic pregnancies varies from place to place and it is more common in the area where there is more prevalence of STD’s, genital tract TB and post abortal and puerperal sepsis. Its presentation is variable from acute to chronic. Diagnosis of acute ectopic is easy but chronic ectopic presents differently in different patients, making pitfalls in diagnosis. Due to disparity of its signs and symptoms, ectopic pregnancy has become interesting and challenging problem to the gynaecologist for timely diagnosis and intervention. The early diagnosis and treatment of this condition over the past two decades has allowed a definitive medical management of unruptured ectopic pregnancies even before there were clinical symptoms in these high risk women.[4,5] DOI: OBJECTIVES: 1. The early diagnosis and treatment of this condition over the past two decades has allowed a definitive medical management of unruptured ectopic pregnancies even before there were clinical symptoms in these high risk women.[4,5] DOI: OBJECTIVES: 1. To find out the incidence of ectopic pregnancy in study population
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