Study on clinical evaluation and management of ectopic pregnancy

Abstract

Background: After an ectopic pregnancy has been confirmed, treatment options include medical, surgical, or expectant management. For patients who are medically unstable or experiencing life-threatening haemorrhage, a surgical approach is indicated. Aims: To study the clinical presentation, risk factors and treatment modalities of ectopic pregnancy. Materials and methods: This prospective open labelled study carried out among patients attending to Department of Obstetrics and Gynaecology in which 50 cases of diagnosed ectopic pregnancies were analysed over a period of 1 1⁄2 year. Results: Ectopic pregnancies are most common in women between the ages of 26 -30. Multiparous women have the highest rate of ectopic pregnancies. H/o tubal procedures (tubal ligation) have the highest prevalence. The majority of patients are with a missing period, lower abdomen pain, and vaginal bleeding. In this study, the ampullary component was the most common site of tubal ectopic in 54 percent of cases, the isthmic part in 38 percent, and the fimbrial region was implicated in 8%. In two cases, medical therapy with a single dose regimen failed, whereas in three cases, medical treatment with a multidose regimen failed. Laparotomy is commonly done because most of the patients come in acute condition.