Ectopic Pregnancy: An Analysis of 54 Cases in A Tertiary Care Hospital of Mardan
Objective: The present study aims at determining the incidence, demographic profile, risk factors, clinical features and treatment modalities of ectopic pregnancy.
Study Design: Prospective Descriptive Study
Place and Duration of Study: Obstetrics and Gynaecology Department, MTI/Mardan Medical Complex, Mardan Pakistan, From 01st February 2016 to 31st January 2017
Methodology: This was a prospective descriptive study comprising 54 cases admitted to Obstetrics and Gynaecology department of Mardan Medical complex, Mardan from 1st February 2016 to 31st January 2017. All women of any age or parity with diagnosis of ectopic pregnancy were included and treated surgically, medically or expectantly.
Results: The incidence of ectopic pregnancy was 0.74% or 1:134 deliveries. Majority of patients (57.4%) were young and were between 26 to 35 years of age. It was most common in multi parous women (57.4%). Pelvic inflammatory disease was seen in 40% followed by history of tubal ligation (14%) and history of infertility (12%) while no identifiable risk factors were observed in 18% of ectopic pregnancies. Most common presenting symptoms were lower abdominal pain (92.6%), amenorrhea (76%), cervical excitation (72%), adnexal fullness (55.5%), p/v bleeding (48%) and shock (40.7%). Majority of patients (72%) underwent surgical treatment.
Conclusion: Timely diagnosis and referral to health care facility, equipped with blood bank services and aggressive management can reduce the ectopic pregnancy associated maternal morbidity and mortality.
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