Dr. Arti J. Patel, Dr. Juhee P. Patel


Background: During past two decades, the incidence of ectopic pregnancy has been increased worldwide dramatically.  Among this tubal ectopic pregnancy is the most common. The present study was carried out with aims to highlight demographic and clinical profile of tubal ectopic pregnancy and their management and outcome. Detail history, clinical examination, biochemical investigations and radiological evaluation were carried out in each patient for confirmation of diagnosis and their management. Methods: A prospective study of 60 cases of ectopic pregnancy was carried out from January 2018 to June 2019 at obstetrics and gynecology department at tertiary teaching care hospital. In present study demographic data like age, parity, risk factors and diagnostic  method of management were noted from case records .Results: Out of 60 patients, (72%) patients were between the age group of 21-30yrs.(30%) patients was nulliparous. Two common risk factors were: previous abortion (25%) and pelvic inflammatory disease (27 %). In present study common presenting symptoms were acute abdominal pain (88%), amenorrhoea (77%), vaginal bleeding (59%). In majority of patients common signs were tenderness over the abdomen (79%) and the fornices (56%). In tubal ectopic pregnancy, the most common site was ampulla of fallopian tube (53%).  Haemodynamically stable (12%) patients having unruptured ectopic pregnancy were managed with multidose MTX therapy and rest (88%) patients were managed by surgical intervention. Conclusion: Early identification of risk factors and timely interventions will reduce maternal morbidity associated with ectopic pregnancy. Ectopic pregnancy is a condition that can be managed conservatively or surgically. In spite of availability of early diagnostic tools, most of our patient needs surgical intervention as they were reported late to the hospital.


Methotrexate (MTX), laparoscopic management, Laprotomy management- Salpingostomy, pelvic inflammatory disease, previous abortion.

Full Text:



.Berek &Novak’s gynecology, 14th edition Berek, Jonathan S.601 -635.

Williams Obsterics, 24t hEdition ,Cunningham , Leveno, Bloom, Spong, Dashe, Hoffman,

Casey, Sheffield .377-395.

.E.P.Gharoro and A.A.Igbafe, Acta Obstet.Gynecol.Scand, 2002, 81:1139-1143

Yakasai et al.Management of Ectopic Pregnancy in Aminu Kano Teaching hospital, Kano Nigeria: A 3year study , Glo.Adv.Res.J.Med.Sci.vol1(7)pp.181-185,August 2012.

.Caminiti et Alan Institutional review of management of Ectopic Pregnancy Gynecolsurg22:47, vol 22, no.2 ,2006.

Stromme et al. Conservative Surgery for Ectopic pregnancy a twenty year review, Obs and gynecology Vol.41, no.2 ,February 1973.

.Rose Jophy, Annamma Thomas, Arun Mhaskar.J Obst and GynIndia2002;52:55-38.

ICMR-task free project-Multicentric case control study of ectopic pregnancy in India. Journal of Obstetrics of Obs and Gynae of india 1990 ;40 :425.

Savitha Devi.Journal of Obs and Gyn of India 2000; 50 : 69.

Arora R,Rathore AM,Habebullah S,Oumachigui A.JIMA,1998;96:53

.Dutta D C”Text book of obstetrics”8th ED, Kolkata, India2015,207 :220.

Eastman NJ and helman L. Williams Obs ED 12, new York, Appleton Century Crafts.


  • There are currently no refbacks.