Abstract
Background: Ectopic gestation is an obstetric emergency with high morbidity and mortality. Most common site for ectopic pregnancy is fallopian tube. Predisposing risk factors include pelvic inflammatory disease (PID) that is acute and chronic salpingitis, previous abortion, Salphingitis Isthmica Nodosa (SIN); and treatment for infertility. This study was done to identify the common risk factors. Method: This was a retrospective study carried out for the period of 6 years (January 2013 - December 2018) in M.G.M. Medical college, Aurangabad. 110 cases of tubal ectopic gestations were studied. Results: Out of 110 ectopic gestations, commonest age of presentation was 25-35years (90.9%), and were multiparous (85.3%). Right sided tube was mostly affected (70.2%), with the risk factors of PID (32%) and previous abortion (30%). Most of the patients presented with pain in abdomen (40.90%) and amenorrhea (31.81%). Predominant histopathological findings were chronic salphingitis with follicular salphingitis (40.90%), acute salphingitis (27.27%) and SIN (22.7%). Conclusion: Pelvic inflammatory disease, Salphingitis Isthmica Nodosa, acute and chronic salphingitis are predisposing factors for tubal ectopic gestation. Early diagnosis, identification of risk factors and timely intervention will reduce the incidence of ectopic pregnancy and also will help in reducing morbidity and mortality associated with it.
Highlights
Ectopic pregnancy is defined as any intra or extra uterine pregnancy in which the fertilized ovum implants at an aberrant site outside the uterus.[1]
Most of the patients presented with pain in abdomen(40.90%)andamenorrhea(31.81%).Predominant histopathological findings were chronic salphingitis with follicular salphingitis (40.90%), acute salphingitis (27.27%) andSIN(22.7%)
Identification of risk factors and timely intervention will reduce the incidence of ectopic pregnancy and will help in reducing morbidity and mortality associated with it
Summary
Ectopic pregnancy is defined as any intra or extra uterine pregnancy in which the fertilized ovum implants at an aberrant site outside the uterus.[1] It is an obstretic emergency with high morbidity and mortality;[2] especially in developing countries where most of the patients present late with rupture or hemodynamic compromise. The most common site for ectopic pregnancy is fallopian tubes (90-95%).[4] Amongst its multifactoral pathogenesis, pelvic inflammatory disease (PID) is one of the important predisposing factors followed by other causes like tubal defects, endometriosis, pervious surgery, use of intrauterine contraceptive device (IUCD) and treatment for infertility. Diagnosis reduces the risk and allows more conservative medical treatment.[5] This study was conducted to recognize the predisposing risk factors which will help in early diagnosis and prevention of tubal ectopic gestation, reducing the morbidity and mortality. This study was done to identify the common risk factors
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