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Published on: October 20, 2019
Ectopic pregnancy--an analysis of 180 cases
Arup Kumar Majhi1, Nilotpal Roy, Kakali Sinha Karmakar
1Departmeht of Obstetrics and Gynaecology, NRS Medical College, Kolkata.
Journal of the Indian Medical Association
|February 1, 2008
Summary
Ectopic pregnancy, a life-threatening emergency, requires early detection and intervention. Identifying risk factors and prompt diagnosis are crucial for improving outcomes and preserving fertility.
Area of Science:
- Obstetrics and Gynecology
- Reproductive Health
- Emergency Medicine
Background:
- Ectopic pregnancy poses a significant life threat during pregnancy.
- Increasing incidence and impact on fertility are major concerns.
Purpose of the Study:
- To analyze epidemiological, diagnostic, and therapeutic aspects of ectopic pregnancy.
- To identify strategies for improving patient prognosis.
Main Methods:
- Prospective study of 180 ectopic pregnancy patients over three years.
- Data collection on incidence, risk factors, symptoms, diagnostic methods, and management.
Main Results:
- Incidence was 0.6% (1 in 161), peaking in ages 26-30.
- Common risk factors included prior tubectomy, abortion, infertility, PID, and surgery.
- Key symptoms were amenorrhea, abdominal pain, and vaginal bleeding; pallor and shock were noted.
- Diagnosis confirmed by urinary beta-hCG (96.1%), ultrasonography, and culdocentesis.
- Tubal pregnancy was most common (95.0%), often ruptured (70.2%).
- Salpingectomy was the primary surgical intervention (81.9%).
Conclusions:
- Early identification of risk factors and prompt diagnosis are vital for better outcomes.
- Minimizing morbidity, mortality, and preserving fertility are achievable goals.
- Surgical management remains the mainstay, with limited roles for expectant or medical therapy.
