Vijayan C.P1, Sathi M.S2, Jitha P.J3
BACKGROUND
Ectopic pregnancies are increasing in number and proportions. Real increase and better detection methods are contributing
for this rise. All the cases diagnosed now are not surgical emergencies. Medical management and expectant line of
management are possible. Revised clinical guidelines are there for the selection of cases for nonsurgical management.
Knowledge about the risk factors is good for prophylaxis and to have a high suspicion about ectopic pregnancy in high-risk
individuals. Knowing the success rate is absolutely essential for counselling before starting the therapy.
Aim of the study-
1. To study the risk factor profile of ectopic pregnancies and to compare them with the old data of the study setting.
2. To follow up the cases receiving nonsurgical treatment and to assess the success rate.
MATERIALS AND METHODS
Study Setting- Department of Obstetrics and Gynaecology, Government Medical College, Kottayam. It is a tertiary care centre
with 1500 beds and catering for the population of five districts of Kerala.
Study Design- Observational Study
Study Period- This study was completed by eighteen months from April 2014 to September 2015.
RESULTS
219 cases of ectopic pregnancies were diagnosed during the study period. The ratio of this number with the total number of
deliveries during that period is 3.48% and this is three times higher than that of the ratio twenty years ago (1.23%). Risk
factor profile is also showing changes over this period. 15.1% had medical treatment and 11% had expectant line of therapy.
Success rates are 87.87% and 95.65%, respectively.
CONCLUSIONS
Incidence and detection of ectopic pregnancies are increasing and the risk factor profile is changing. In properly selected
cases, the success of nonsurgical management is excellent.
