Vamsi Mudadla1, Shyamala Kaitala2, Satyavani Nandigama3
BACKGROUND
Ruptured ectopic is a life threatening obstetric emergency. Obstetrician must have
a high index of suspicion for ectopic pregnancy and should be aware of importance
of early diagnosis and early intervention. The present study was undertaken to
evaluate the incidence, clinical presentation, risk factors, treatment and morbidity
associated with ectopic pregnancy.
METHODS
Retrospective analysis of ectopic pregnancy was done in King George Hospital,
Visakhapatnam from January 2020 to December 2020 in the department of OBG.
The following parameters: Age, risk factors, clinical presentation, site of ectopic,
diagnostic methods, mode of treatment were noted.
RESULTS
A total of 63 cases were reported during this time frame. It is a tertiary care centre
getting referrals from nearby districts and other hospitals. Incidence of ectopic
pregnancy in the present study is 0.89 %. 41.26 % of patients belonged to age
group between 26 to 30 years. Out of 63 cases 49.20 % were multigravida. 28 %
of the cases were associated with previous H/O abortions and 23 % of the cases
were associated with PID and in 17.4 % of the cases there was no predisposing
factors. 96.82 % the patients presented with pain abdomen. Shock in 34.92 % of
the cases. Ampulla is the most common site of ectopic. In 76 % of the cases there
was hemoperitoneum > 500 ml. Salpingectomy was done in 79.3 % cases. 84 %
of cases required blood transfusion > 1 unit. There was no mortality.
CONCLUSIONS
Ectopic pregnancy is one of the obstetric emergency with significant morbidity and
mortality. PID and post abortal sepsis are one of the important risk factors for
ectopic pregnancy. As many patients may not have recognizable risk factors, a
high index of suspicion is critical for early diagnosis. Early USG diagnosis of ectopic
pregnancies reduces mortality and enables us to offer the patient conservative
medical and surgical treatment.
