A STUDY ON DIFFERENT CLINICAL PROFILE & THEIR OUTCOME IN ECTOPIC PREGNANCY IN A TERTIARY CARE CENTRE

Abstract

Aim: The aim of the present investigation is to study on different clinical profile & their outcome in ectopic pregnancy in a tertiary care centre.

Material & Methods: This study was conducted at department of obstetrics and gynecology Al - Ameen Medical College Vijayapur, a tertiary care teaching hospital, India. It is a retrospective descriptive study on patients who presented to our department with clinical features of ectopic pregnancy and later confirmed with intraoperative findings or ultrasound, in 15 months. The data was collected in a specific template which included last menstrual period (LMP) to calculate the expected date of delivery, any abortions, previous abdominal surgeries including previous ectopic pregnancy, history of treatment for infertility.

Results: There were total 12,188 pregnant mothers during the study period out of which 85 patients were diagnosed with ectopic pregnancy. Many associated risk factors were identified and patients had previous history of ectopic pregnancies, history of tubal ligation and history of unsupervised medical abortion pills intake. According to the amount of blood loss at the time of first presentation, patients had haemoglobin of 10 gm/dl or more and thereafter patients had haemoglobin less than 5 gm/dl.

Conclusion: Any woman in the reproductive age group presenting with missed menstrual cycle, or bleeding per vagina or abdominal pain should be suspected and further investigated along the lines of being a possible ectopic pregnancy. If any associated history of abdominal surgery, previous abortion or pelvic inflammatory disease is there, they are most likely to be having an ectopic pregnancy.

Keywords: Different Clinical Profile, Ectopic Pregnancy, Tertiary Care Centre, Previous abortion, Pelvic inflammatory disease