FREQUENCY OF UNRUPTURED ECTOPIC PREGNANCY IN A TERTIARY CARE HOSPITAL OF HAIL CITY, SAUDI ARABIA

Saadia Rasheed,Sehar Shahbaz,Shazia Hammad

doi:10.21649/akemu.v21i4.764

Abstract

AbstractAims and Objectives:Determine the frequency of unruptured ectopic pregnancy in a tertiary care hospital of Hail City, Saudi Arabia.Study Design:It was an observational case series.Material and Method:A total of 150 cases between 15 44 years with history of amenorrhea (6 8 weeks) and vaginal bleeding with or without lower abdominal pain, positive urine pregnancy test were enrolled in the study while heterotopic pregnancy, ruptured ectopic pregnancy and patients in first trimester with obstetric problem other than ectopic pregnancy were excluded from the study. All these cases were collected from Maternity and Childrens hospital Hail, Kingdom of Saudia Arabia during 2011 to 2014.Results:In our study, 64.67% (n = 97) of the cases were between 15 30 years of age while 35.33% (n = 53) were between 31 44 years, mean sd was calculated as 26.34 2.67 years, frequency of unruptured ectopic pregnancy was recorded in 14% of the cases.Conclusion:The frequency of un-ruptured ectopic pregnancy is higher and TVS may be used for early detection of this morbidity.Key Words:Ectopic pregnancy, un-ruptured, Transvaginal sonography.

Highlights

Ectopic pregnancy is one of the severe life threatening situations during pregnancy and leads to maternal mortality.[1]
A total of 150 cases between 15 – 44 years with history of amenorrhea (6 – 8 weeks) and vaginal bleeding with or without lower abdominal pain, positive urine pregnancy test were enrolled in the study while heterotopic pregnancy, ruptured ectopic pregnancy and patients in first trimester with obstetric problem other than ectopic pregnancy were excluded from the study
All patients fulfilling the inclusion / exclusion criteria were enrolled to determine the frequency of unruptured ectopic pregnancy in a tertiary care hospital of Hail City, Saudi Arabia

Summary

Introduction

Ectopic pregnancy is one of the severe life threatening situations during pregnancy and leads to maternal mortality.[1]. Every women of childbearing age presenting with un-explained abdominal pain other than amenorrhea and vaginal bleeding may be suspected with ectopic pregnancy.[5]. The exact etiology is not well documented but Pelvic infections, smoking, previous tubal surgery, genital infections, intra-uterine devices use, and endometriosis are considered as common risk factors.[6] Women having ectopic pregnancy become symptomatic within 12 weeks of gestation, few cases remain undiagnosed and SAADIA RASHEED, SEHAR SHAHBAZ, SHAZIA HAMMAD go beyond this gestational age.[7] During the past decade, the morbidity and mortality have significantly decreased due to effective diagnostic modalities e.g. transvaginal sonography (TVS)[8] but the rate of early pregnancy mortalities indicated in more than 70% of the cases.[9]

Methods

Results

Conclusion