A Study on Management, Morbidity and Mortality of Ectopic Pregnancy Attending a Tertiary Care Centre
Keywords:
Ectopic Pregnancy, Laparotomy, Hemoperitoneum, Salpingectomy
Abstract
Background: To study the management modalities and their outcome, morbidity and mortality in women with ectopic pregnancy.Methods: 50 cases of ectopic pregnancy were diagnosed and recruited for the study after taking their consent for participation. Detailed clinical history and Serum β-hCG assay Transabdominal USG, Transvaginal USG were done.Results: 35 (70%) patients were managed by laparotomy and 12 patients underwent laparoscopy. 17 patients had less than 1000 ml, 22 patients had hemoperitoeum of 1000-2000 ml and 4 patients had >2000 ml of hemoperitoneum intraoperatively. The most common site for ectopic was found in ampulla in 29(61.7%). 40 patients (85.1%) presented with ruptured ectopic pregnancy. 35 patients were managed by salpingectomy (74.4%), followed by salpingo-oophorectomy in 6 (12.7%) patients. 12 patients underwent laparoscopy.Conclusion: Early diagnosis and prompt conservative surgical or medical management reduces maternal morbidity, mortality and also helps in preserving fertility.References
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2. Barnhart K, Mennuti M, Benjamin J, et al. Prompt diagnosis of ectopic pregnancy in an emergency department setting. Obstet Gynecol 1994; 84:1010.
3. Barnhart K, Esposito M, Coutifaris C. An update on the medical treatment of ectopic pregnancy. Obstet Gynecol Clin North Am 2000;27:653–67.
4. Kadar N. Early recourse to laparoscopy in the man-agement of suspected ectopic pregnancy. Accuracy and morbidity. J Reprod Med 1990;35:1153–6.
5. Samuelsson S, Sjovall A. Laparoscopy in sus-pected ectopic pregnancy. Acta Obstet Gynecol Scand 1972;51:31–5.
6. Chotiner HC. Nonsurgical management of ectopic pregnancy associated with severe hyperstimulation syndrome. Obstet Gynecol 1985; 66:740–3.
7. Khaleeque F, Siddiqui RI, Jafarey SN. Ectopic pregnancies: A Three year study. J Pak Med Assoc 2001; 51:240–243. 308.
8. Shrestha J, Saha R. Comparison of laparoscopy and laparotomy in the surgical management of ectopic pregnancy. J Coll Physicians Surg Pak 2012;22:760–4.
9. Kopani F, Rrugia A and Manoku N. Ectopic preg-nancy comparison of different treatments. Journal of Prenatal Medicine 2010; 4(2): 30-34.
10. Etuknwa Bassey Tom, Azu Onyemaechi Okpara, Peter Aniekan Imo, Ekandem Gabriel John et al. Ectopic pregnancy: A Nigerian Urban Experience. Korean J Obstet Gynecol 2012;55(5):309-314.
11. Poonam Y, Uprety D, Banerjee B. Ectopic Preg-nancy - two years review from BPKIHS, Nepal. Kathmandu Uni Med J. 2005; 3:365-9
12. Uzma Shabab, Haleema A. Hashmi. Different Pat-tern of Presentation of Ectopic Pregnancy and its Management. Journal of Surgery Pakistan (Interna-tional) 18 (1) January - March 2013.
13. Panchal D, Vaishnav G, Solanki K. Study of Man-agement in Patient with Ectopic Pregnancy. NJIRM 2011; 2(3) : 91-94
14. Shraddha Shetty K, Anil Shetty K. A clinical Study of Ectopic pregnancies in a Tertiary Care Hospital of Mangalore, India: Innovative Journal of Medical and Health Science 4 : 1 Jan - Feb(2014) 305-309.
15. Yakasai IA, Abdullahi J, Abubakar I. Management of ectopic pregnancy in Aminu Kano Teaching Hospital Kano Nigeria: A 3- year. Global Adv Res J Med Med Sci 2012;1(7):181–5.
16. Rashmi AGaddagi, AP Chandrashekhar.A Clinical Study of Ectopic Pregnancy.Journal of clinical and diagnostic research 2012;6:867-869.
2. Barnhart K, Mennuti M, Benjamin J, et al. Prompt diagnosis of ectopic pregnancy in an emergency department setting. Obstet Gynecol 1994; 84:1010.
3. Barnhart K, Esposito M, Coutifaris C. An update on the medical treatment of ectopic pregnancy. Obstet Gynecol Clin North Am 2000;27:653–67.
4. Kadar N. Early recourse to laparoscopy in the man-agement of suspected ectopic pregnancy. Accuracy and morbidity. J Reprod Med 1990;35:1153–6.
5. Samuelsson S, Sjovall A. Laparoscopy in sus-pected ectopic pregnancy. Acta Obstet Gynecol Scand 1972;51:31–5.
6. Chotiner HC. Nonsurgical management of ectopic pregnancy associated with severe hyperstimulation syndrome. Obstet Gynecol 1985; 66:740–3.
7. Khaleeque F, Siddiqui RI, Jafarey SN. Ectopic pregnancies: A Three year study. J Pak Med Assoc 2001; 51:240–243. 308.
8. Shrestha J, Saha R. Comparison of laparoscopy and laparotomy in the surgical management of ectopic pregnancy. J Coll Physicians Surg Pak 2012;22:760–4.
9. Kopani F, Rrugia A and Manoku N. Ectopic preg-nancy comparison of different treatments. Journal of Prenatal Medicine 2010; 4(2): 30-34.
10. Etuknwa Bassey Tom, Azu Onyemaechi Okpara, Peter Aniekan Imo, Ekandem Gabriel John et al. Ectopic pregnancy: A Nigerian Urban Experience. Korean J Obstet Gynecol 2012;55(5):309-314.
11. Poonam Y, Uprety D, Banerjee B. Ectopic Preg-nancy - two years review from BPKIHS, Nepal. Kathmandu Uni Med J. 2005; 3:365-9
12. Uzma Shabab, Haleema A. Hashmi. Different Pat-tern of Presentation of Ectopic Pregnancy and its Management. Journal of Surgery Pakistan (Interna-tional) 18 (1) January - March 2013.
13. Panchal D, Vaishnav G, Solanki K. Study of Man-agement in Patient with Ectopic Pregnancy. NJIRM 2011; 2(3) : 91-94
14. Shraddha Shetty K, Anil Shetty K. A clinical Study of Ectopic pregnancies in a Tertiary Care Hospital of Mangalore, India: Innovative Journal of Medical and Health Science 4 : 1 Jan - Feb(2014) 305-309.
15. Yakasai IA, Abdullahi J, Abubakar I. Management of ectopic pregnancy in Aminu Kano Teaching Hospital Kano Nigeria: A 3- year. Global Adv Res J Med Med Sci 2012;1(7):181–5.
16. Rashmi AGaddagi, AP Chandrashekhar.A Clinical Study of Ectopic Pregnancy.Journal of clinical and diagnostic research 2012;6:867-869.
Published
2016-01-01
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