Ushasree Dasari
BACKGROUND A ruptured ectopic pregnancy is a true emergency and remains the leading cause of pregnancy-related first trimester deaths. The aim of the study is to study the clinical profile of ectopic pregnancy in a tertiary care hospital. MATERIALS AND METHODS It is a study conducted at Rangaraya Medical College and Hospital, Kakinada, from January 1, 2017, to December 31, 2017, for a period of 1 year. A total of 54 patients with ectopic pregnancy were analysed on clinical presentation, investigations, operative findings and outcome. RESULTS A majority of women (46.2%) were in the age group of 21-25 years and 80% were multigravida. Risk factors were identifiable in 79% patients. Amenorrhea (90.4%) and pain abdomen (91.6%) were the most common presenting symptoms. 92.5% underwent an exploratory laparotomy, 1.8% underwent laparoscopy and 5.5% women received medical management. There were no maternal deaths and postoperative morbidity in the form of wound dehiscence (11.1%), paralytic illness (5.5%) and DIC (3.7%) were seen. CONCLUSION Ectopic pregnancy still remains one of the major causes of maternal morbidity and mortality. Early diagnosis and referral in haemodynamically stable state along with use of minimal access surgery or medical management can change the scenario of ectopic pregnancy in the developing world.
