Study of Ectopic Pregnancy at Guru Gobind Singh Hospital, Jamnagar Region

Study of Ectopic Pregnancy

Abstract

Background: Ectopic pregnancy is assuming greater importance because of its increasing incidence and its impact on woman’s fertility. Method: We have conducted study of 50 cases of ectopic pregnancy during year January 2001 to December 2002 in Guru Gobind Singh Hospital, Jamnagar City. Result: In our study we have found that incidence of ectopic pregnancy is 1:211. Ectopic pregnancy is more common in younger age group patient and patients with 2 or more parity in our study. Previous pelvic surgery, previous abortion, pelvic inflammatory diseases and IUCD are most common risk factors for ectopic pregnancy. Presenting complains of patients on admission are abdominal pain, amenorrhoea and bleeding per vagina which were present in 96% , 88% , 50% cases respectively in our study. Common signs for diagnosis of ectopic pregnancy are abdominal tenderness, bleeding per vagina and tenderness on cervical movement in our study. The most common clinical type of ectopic pregnancy is acute variety which is 70% in our study. Commonest site for ectopic pregnancy is fallopian tube which is found in 90% of cases and ampullary region is the most common portion of tube involved which is found in 75.6% cases in our study. Common mode of termination of Ectopic pregnancy is tubal rupture which is present in 48% cases in our study. Conclusion: Although ectopic pregnancy will never be completely prevented, but incidence can be reduced and much of the morbidity and mortalities can be minimised by prevention and efficacious diagnostic and interventional strategies aimed primarily at those women who are at high risk for the condition and taking precaution that woman who likely to become high risk are handled in such a way that the number of these high risk women are reduced.