Study of ectopic pregnancy in a Tertiary Care Hospital

Abstract

Introduction: An ectopic pregnancy occurs when a fertilized ovum implants outside the normal uterine cavity. It is the most important cause of maternal mortality and morbidity in the first trimester. Our aimed is to study the different modes of clinical presentation, predisposing and etiological factors in case of ectopic pregnancy. Materials & Methods: Department of Obstetrics & Gynaecology, Sri Aurobindo Medical College & Post Graduate Institution, Indore, MP from April 2014 to July 2015. All patients included in the study were diagnosed with ectopic pregnancy, in reproductive age group of 15-49 years. Total 50 patients participated in the study. A pre structured and pre tested questionnaire was used to know age, parity, risk factors & modes of presentation of ectopic pregnancy. Result: out of 50 cases, the maximum no. of cases that is 22(44%) were in age group of 21 to 25 years. In present study 48% of patients were nulliparous which was highest. In present study, Infertility, History of previous abortion and pelvic inflammatory diseases were found to be the major predisposing factor for ectopic gestation. In present study, Abdominal Pain was the most common symptom seen in 47 (94%) cases followed by amenorrhea and abdominal tenderness. Conclusion: A better understanding of risk factors and presentations related to ectopic pregnancy can help to manage and prevent its occurrence.