STUDY OF TUBAL ECTOPIC PREGNANCY AT TERTIARY TEACHING CARE HOSPITAL

Abstract

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.