A prospective study on ectopic pregnancy: a one year study

Abstract

Background: Diagnosis of ectopic pregnancy was frequently missed , Aim of the study was to determine the
incidence, clinical presentation ,and treatment associated with ectopic pregnancy.
Methods: This is a prospective study which was carried out at Obstetrics & Gynaecology department, GMERS
SOLA civil hospital from August 2017 to October 2018. 50 patients diagnosed with ectopic pregnancy were
enrolled in the study and information was collected and analysed.
Results: 80% patients were between the age group of 21-30 years. 56% patients were nulliparous. Amenorrhea
(92%) with lower abdominal pain (94%) is the most common presenting symptom. 26% of patients show typical
triad of amenorrhea, abdominal pain and bleeding per vagina. UPT and USG were most commonly performed
investigations. 96% cases showed UPT positive. 100% USG showed adnexal pathology. Serum beta-hCG was
done in 37 patients as an aid for diagnosis and to decide the line of management.Conservative medical
management with Injection MTX was done in 4 patients of which 1 patients required laparotomy later on. Surgical
management was done in 90% of patients. Laparoscopic management was done in 54% of cases.
Conclusions: Early diagnosis, and timely intervention in the form of conservative or surgical treatment will help in
reducing the morbidity and mortality associated with ectopic pregnancy.