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A clinical study of ectopic pregnancy
Najma Bano Shaikh1, Shabnam Shaikh, Farhana Shaikh
1Department of Obstetrics and Gynecology, Peoples University of Medical & Health Sciences for Women, Nawabshah, Pakistan.
Journal of Ayub Medical College, Abbottabad : JAMC
|January 22, 2015
Summary
Ectopic pregnancy, a life-threatening first-trimester emergency, occurred in 0.6% of admissions. Key risk factors included pelvic inflammatory disease and prior abortions, with most patients presenting with abdominal pain and some in shock.
Area of Science:
- Obstetrics and Gynecology
- Reproductive Health
- Emergency Medicine
Background:
- Ectopic pregnancy incidence is rising globally, posing a significant first-trimester pregnancy risk.
- This condition represents a critical obstetric emergency requiring prompt medical attention.
Purpose of the Study:
- To investigate the frequency of ectopic pregnancy.
- To identify associated risk factors, clinical presentations, and management strategies.
Main Methods:
- A prospective descriptive study was conducted over three years at a tertiary care hospital.
- Data collected included demographics, risk factors, clinical features, and treatment outcomes for ectopic pregnancy cases.
- Statistical analysis was performed using SPSS version 11.
Main Results:
- The study recorded 60 cases of ectopic pregnancy out of 9600 admissions (0.6% frequency).
- Common risk factors identified were pelvic inflammatory disease (45%) and previous abortions (33%).
- Most patients (77%) presented with amenorrhea and abdominal pain; 38% were in shock. Laparotomy was the primary surgical intervention (88%), with no maternal deaths reported.
Conclusions:
- Early diagnosis of ectopic pregnancy remains a significant challenge for obstetricians.
- Timely diagnosis enables conservative management, potentially improving reproductive outcomes.
