Analysis of ectopic pregnancy at a tertiary care hospital: one year study

Baria, Dhara D.; Thaker, Rajal; Patel, M.; Shah, Sonal D.; Shah, Parul T.; Jani, Shashwat K.

doi:10.5455/2320-1770.ijrcog20131226

Cited by 5 publications

(9 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Among the cases with positive history of risk factors, abortion was the most common risk factor noted. This finding was in conjunction with the findings of Shivakumar HC et al and Baria DD et al 4,7 …”

Section: Risk Factorssupporting

confidence: 81%

See 1 more Smart Citation

Study of ectopic pregnancy in a tertiary care centre

Shukla

Jagtap

Kale

et al. 2017

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: Ectopic pregnancy is a life threatening emergency leading to maternal death. Incidence of ectopic pregnancies has been increasing in last two to three decades with reduction in mortality. The presenting symptoms include abdominal pain, amenorrhoea and/or irregular vaginal bleeding. The present study was undertaken to study the clinical features of ectopic pregnancies in a tertiary care hospital.Methods: The present study on ectopic pregnancies was carried out in Department of Pathology, Krishna Institute of Medical Sciences, Karad, Maharashtra, India from January 2010 to June 2014. All the cases of ectopic pregnancy managed surgically were included in the study.Results: Total 102 cases of ectopic pregnancy were studied. Proportion of ectopic pregnancy in the present study is 1 in 205 deliveries. Majority of the cases (37) (36.27%) were noted between 21 to 25 years of age group followed by the age group 26 to 30 years. Ectopic pregnancy was most commonly noted in nulliparous women (44/102) (43.14%). Majority of the cases (50/102) (49.02%) had no risk factors. Abortion was the most common risk factor identified, alone as well as in conjunction with other factors. Ampulla was the most common site for ectopic pregnancy. 55% of the cases were on the right side where as 45% on the left side. We had 2 cases of heterotropic pregnancy with tubal ectopic in both the cases. The typical triad of amenorrhoea, pain in abdomen and bleeding was observed in 21.57% cases.Conclusions: The incidence of ectopic pregnancies is on rise as evident in this study. In order to reduce the morbidity and mortality due to ectopic pregnancies, there is need for early diagnosis especially in high risk cases.

show abstract

Section: Risk Factorssupporting

confidence: 81%

“…2 Studies by Laxmi RC et al, Baria DD et al and Shraddha Shetty et al have shown increase in the incidence which was also observed in the present study. [3][4][5] Present study showed an incidence of 1 in 205 deliveries which was in concordance with the studies of ICMR and Shraddha Shetty et al 2,5 …”

Section: Incidencesupporting

confidence: 81%

Study of ectopic pregnancy in a tertiary care centre

Shukla

Jagtap

Kale

et al. 2017

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

show abstract

“…Ectopic pregnancy commonly presents with lower abdominal pain and vaginal bleeding during 6th to 10th gestational weeks. 17,18 In the present study, 88% of cases were admitted with a complaint of lower abdominal pain, of which 82% reported vaginal bleeding.…”

Section: Discussionmentioning

confidence: 45%

“…Currently, MTX treatment for tubal ectopic pregnancy is widely recognized 17 ; however, it requires an adaptation period. The regular quantification of β-hCG levels is mandatory with treatment with MTX, and average follow-up varies from 26.5 to 32 days.…”

Section: Mtxmentioning

confidence: 99%

Changing Trend of Tubal Ectopic Pregnancy Management During the Experience of Seven Years

Bozdağ¹,

Akdeniz²,

Eyisoy³

2018

JCOG

View full text Add to dashboard Cite

ctopic pregnancy is defined as the implantation of a fertilized ovum outside the uterine cavity, most common site being the fallopian tube. The incidence of ectopic pregnancy varies between 1% and 2% in the general population, with an estimated 11,000 ectopic pregnancies diagnosed each year. 1-3 It is responsible for 3% to 4% of pregnancy-related deaths. 4,5 A study reported at least 90% of all ectopic pregnancies to occur in the fallopian tube, known as tubal ectopic pregnancy. 6 Tubal ectopic pregnancy is managed surgically via an open or laparoscopic route with salpingectomy or salpingostomy. Salpingectomy has a high success rate and is the preferred treatment modality for a ruptured tubal ectopic pregnancy. It is also effective in patients who are hemodynamically unstable because of uncontrolled bleeding from the ectopic focus. Conservative surgery via salpingostomy is a suitable approach for women whose tubal integrity remains intact. 7,8 Various nonsurgical strategies have also been employed for treating ectopic pregnancy including medical treatment and expectant management. Changing Trend of Tubal Ectopic Pregnancy Management During the Experience of Seven Years A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Ectopic pregnancy is a condition where a fertilized egg gets implanted outside the uterus. The most common site of attachment is the fallopian tube and the condition is termed tubal ectopic pregnancy. It is considered a gynecologic emergency if it is neglected or overlooked. Technological progress and advances in management modalities have provided clinicians with various treatment options for tubal ectopic pregnancy. In the current study, we analyzed the management trends in tubal ectopic pregnancy including an evaluation of the clinical profile and management modalities of the cases. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : The present study is a retrospective observational study that included women with tubal ectopic pregnancy who were admitted to the department of obstetrics and gynecology. The patients were allocated to two groups, namely MTX, and surgical treatment groups. R Re es su ul lt ts s: : Of the 207 women included in the study, 84 and 123 were treated with surgery and MTX, respectively, at the first admission. The most common symptom noted was lower abdominal pain in 182 (87.9%) patients and vaginal bleeding was present in 171 (82%) women. The most common ultrasonographic finding was adnexal mass in 156 (75%) women. We performed salpingectomy in 67 (56%) and salpingostomy in 52 (44%) cases that were finally surgically treated (n=119). Our trend analysis reported a significant and quadratic increasing trend for salpingectomy (χ 2 =5.539, degrees of freedom [d f ]=1, p=0.02) from 2009 to 2015. There was a significantly increasing linear trend in the MTX treatment group, whereas the surgery group presented a significant decreasing linear trend (χ 2 =18.56, d f =1, p=0.001). C Co on nc cl lu us si io on n: : The present study observed a downward change in the mana...

show abstract

“…These findings corroborate that of Baria et al, where a prevalence of 0.70% was found at their facility. 18 A study by Gharoro et al also recorded a low incidence of EP of 1.68% in the Benin city of Nigeria. 19 However, in other studies in Ghana by Opoku et al and Oppong et al, a higher prevalence of 10.6% and 2.05% respectively was reported, with women aged between 21-30 years recording the highest.…”

Section: Discussionmentioning

confidence: 94%

Ectopic pregnancies in low resource setting: a retrospective review of cases in Kumasi, Ghana

Yakub

Newton

Osei

et al. 2021

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: Ectopic pregnancy remains a public health threat for women in reproductive age, and a major cause of maternal mortalities in the first trimester of pregnancy. Past studies in Ghana on the burden of Ectopic Pregnancy (EP) have focused on major referral health facilities with little consideration of primary health facilities. This study was set out to determine the prevalence of Ectopic Pregnancy, demographic characteristics involved and the various types of Ectopic Pregnancy seen in primary health settings in Kumasi, Ghana.Methods: A retrospective descriptive cross-sectional study was conducted at the Suntreso Government and Tafo Government Hospitals in the Kumasi metropolitan area from 2007 to 2017. A review of 28,600 obstetric cases recorded in registers of the two facilities was done using electronic data extraction form. The data were exported into STATA/IC 14.0 for statistical analysis.Results: A prevalence of 0.76% EP was recorded over the study period of 10 years. 61.75% of the women diagnosed with EP were between the ages of 21-30 years with a mean age and standard deviation of 27.61 and 5.91 respectively. Tubal (fallopian tubes) EP was seen in 76.96% of the women diagnosed with EP. 10.18% and 7.19% of the tubal EP occurred in the cornual and fimbriae respectively. Ruptured EP was seen in 58.99% of the cases.Conclusions: The study reported EP in about one in a hundred cases. The commonest EP that emerged from this study was tubal (fallopian tube) EP. Among the tubal EP, cornual and fimbria were the commonest EP that occurred in the fallopian tube. Although cases of tubo-ovarian and ovarian EP are rare, a significant percentage were observed in this study. Early reporting and diagnosis of EP should be of great importance to prevent ruptured EP and any associated complications.

show abstract

Analysis of ectopic pregnancy at a tertiary care hospital: one year study

Cited by 5 publications

References 6 publications

Study of ectopic pregnancy in a tertiary care centre

Study of ectopic pregnancy in a tertiary care centre

Changing Trend of Tubal Ectopic Pregnancy Management During the Experience of Seven Years

Ectopic pregnancies in low resource setting: a retrospective review of cases in Kumasi, Ghana

Contact Info

Product

Resources

About