Ectopic pregnancy: an analysis of 62 cases

Area of Science:

• Obstetrics and Gynecology
• Reproductive Health
• Surgical Case Analysis

Background:

• Ectopic pregnancy poses significant risks to maternal health.
• Understanding incidence and risk factors is crucial for early detection and management.
• Previous studies highlight varied diagnostic accuracy of different methods.

Purpose of the Study:

• To determine the incidence, risk factors, diagnostic features, and management of ectopic pregnancy.
• To evaluate the effectiveness of diagnostic tools like culdocentesis, ultrasound, and laparoscopy.
• To analyze surgical interventions and outcomes in ectopic pregnancy cases.

Main Methods:

• Retrospective analysis of 62 ectopic pregnancy cases over 18 months.
• Data collection on patient demographics, risk factors, diagnostic methods, and surgical procedures.
• Evaluation of diagnostic accuracy for clinical diagnosis, culdocentesis, ultrasound, and laparoscopy.

Main Results:

• Incidence of ectopic pregnancy was 5.7 per 1000 births.
• Common risk factors included pelvic inflammatory disease and history of D&E for abortion.
• Clinical diagnosis was accurate in 80.6%, culdocentesis in 90.1%, ultrasound in 90.1%, and laparoscopy in 100% of cases.
• Laparotomy was the primary surgical intervention, with partial salpingectomy being the most common procedure.

Conclusions:

• Ectopic pregnancy remains a significant concern with a notable incidence.
• Early and accurate diagnosis is achievable through a combination of clinical evaluation and imaging techniques.
• Surgical management strategies vary based on patient factors, with a low mortality rate observed in this cohort.