The New Indian Journal of OBGYN. 9(1):148-154

Clinical study of ectopic pregnancy

Vijay Kalyankar, Bhakti Kalyankar, Srinivas Gadappa, Yogesh Ahire

ABSTRACT

Objectives: To know the demographic profile, different clinical presentations and different modes of management of ectopic pregnancy at our tertiary care centre. Material and methods: It was a prospective observational study for 2 years. All types of ectopic pregnancies and who were willing to participate in the study were included. According to history, findings and investigations as per protocol the expectant, medical or surgical management was done. Results: The magnitude of ectopic pregnancy was 3.95 per 1000 pregnancies. The classical triad of ectopic pregnancy was present in 45.38 % of patients. (89.24%) were managed by surgical methods, by exploratory laparotomy (112) and laparoscopy (6). In surgical management, 64.40% of cases were managed with unilateral salpingectomy, 19.49% cases with bilateral salpingectomy, and 4.23% cases with salpingo-oophorectomy. In 83.90 % of cases, the most common site of ectopic was in the ampullary region. Conclusion: Surgical management was the mainstay of treatment. The most common site was an ampullary tubal ectopic pregnancy. Concern was no etiological risk factor could be found in almost one-third of cases.