Clinical study of ectopic pregnancy

Kalyankar, Vijay; Kalyankar, Bhakti; Gadappa, Srinivas; Ahire, Yogesh S.

doi:10.21276/obgyn.2022.9.1.28

Cited by 2 publications

(6 citation statements)

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“…These findings align with the De Sanctis et al study, which reported an average age of 17.1±1.4, an average age of menarche of 12.4±1.3, and a mean BMI of 20.32±2 [ 16 ]. In comparison to the research conducted by Kalyankar et al, who found that 14.6% of individuals were overweight, 3.4% were obese, and 26% were underweight, our study reveals that 14.5% and 1.6% of individuals are overweight and obese, respectively, while 20.3% are underweight [ 17 ].…”

Section: Discussioncontrasting

confidence: 74%

Understanding Adolescent Gynecological Issues: A Cross-Sectional Study at a Tertiary Care Center

Agarwal,

Singh,

Jyoti

et al. 2024

Cureus

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Background and objectives: Adolescence is a crucial phase in a woman's life, as it signifies the beginning of her reproductive journey. During this time, there are notable variations in sexual development and a sense of caution that can present challenges for healthcare providers. The rationale for studying adolescent gynecological problems lies in the need to understand and address the unique reproductive health challenges faced by young girls. By investigating these issues, researchers and healthcare professionals can develop effective strategies for prevention, early detection, and treatment of gynecological conditions in adolescents. This knowledge is crucial for promoting the overall well-being and reproductive health of young girls, ensuring they receive appropriate care and support during this critical stage of development. This study focuses on identifying the most common gynecological issues in teenagers, exploring the root causes, examining the available treatment options, and understanding how they are managed at a tertiary care facility. Methods: This cross-sectional observational study took place at a tertiary care center and focused on gynecological issues in adolescent females who sought care at the gynecology department from January 2016 to December 2022. The study participants were categorized into three groups: early adolescence (10-13 years), middle adolescence (14-16 years), and late adolescence (17-19 years) for analysis. Ethical approval was obtained for this hospital-based research, which involved examining, investigating, and treating the study participants. Results: Out of the 49,700 new female patients, 2000 (4.02%) fell within the specified age range. The average age of the participants was 16.87±2.16, and the majority of them sought help for menstrual issues (63.45%), followed by abdominal discomfort (15.6%) and vaginal discharge (7.2%). Menstrual disorders were the most common concern, with dysmenorrhea and puberty menorrhagia being prevalent issues. Abdominal pain was caused by various factors, such as urinary tract infections, ovarian tumors, pelvic inflammatory disease, endometriosis, and endometrial tuberculosis. The majority of cases were treated conservatively, with only a small percentage requiring surgical intervention. Conclusion: The significance of early detection and intervention in addressing gynecological issues among adolescents is highlighted in the findings of this research, underscoring the necessity for specialized healthcare services that cater to the specific needs of this demographic. Adolescent gynecology plays a crucial role in safeguarding the reproductive health and overall well-being of young women, emphasizing the importance of seeking assistance proactively.

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Section: Discussioncontrasting

confidence: 74%

Understanding Adolescent Gynecological Issues: A Cross-Sectional Study at a Tertiary Care Center

Agarwal,

Singh,

Jyoti

et al. 2024

Cureus

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“…Verma et al [ 2 ] reported frequency of EP to be 2.3%. A higher incidence of EP was noted by Kalyankar et al [ 5 ], which was 3.95 per 1,000 pregnancies. Our study reported the EP on the higher side which might be attributed to more referrals and lower socio-economic status of the population catered.…”

Section: Discussionmentioning

confidence: 78%

“…Other risk factors are a history of tubectomy (1.8%), previous laparotomy (1.4%), history of infertility treatment (1.2%), previous ectopic (1.4%), and ATT intake (0.9%). The study by Kalyankar et al [ 5 ] also observed PID to be the most common risk factor (17.69%), with other factors being infertility (10.76%) abortion and dilation and curettage (D&C) (12.30%), previous ectopic (6.15%), sterilization (17.69%) and IUCD use (2.30%). Nethra et al [ 6 ] observed that a history of PID was present in 28% of the patients.…”

Section: Discussionmentioning

confidence: 97%

“…The most common symptom was amenorrhea (93%), followed by abdominal pain (82%) and vaginal bleeding (51%). Kalyankar et al [ 5 ] found that the classical triad of EP was seen in 45.38% of cases. The most common symptom was pain in the abdomen (90.76%), amenorrhea in 79.23% of cases, and bleeding PV in 63.07% of cases.…”

Section: Discussionmentioning

confidence: 99%

“…The most frequent risk factors of EP include a history of abortions and pelvic inflammatory disease (PID) [ 3 , 4 ]. Because the classic symptoms triad of amenorrhea, abdominal pain, and vaginal bleeding is present only in 30% to 40% of patients with EP, the diagnosis requires a high index of clinical suspicion [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

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Clinical Profile, Risk Factors and Outcomes of Ectopic Pregnancy in a Tertiary Care Hospital: A Prospective Indian Study

Nalini,

Singh,

et al. 2023

Cureus

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Objectives To determine the clinical profile, management and outcomes in patients of ectopic pregnancy (EP) presenting to the hospital. Methods A prospective observational study was done on 75 women with ectopic pregnancy among a total of 1350 women who attended the Gynecology department over a period of 18 months from December 2020 until June 2022. The details of patients such as age, socioeconomic status, referral, symptoms, obstetric history, and signs and symptoms were recorded. Ultrasound was done and the site of ectopic pregnancy was determined. Management of patients was done according to hospital protocol; outcomes were recorded. Results The frequency of EP in the present study was 5.55%. The majority of the cases (60%) were between 20-30 years of age, from the lower middle class (57%), referral cases (63%), and multigravida (i.e. >G4) (31%) cases. Amenorrhea was the most common symptom seen in 73 (97.33%) cases. On ultrasound, the most common finding was tubo-ovarian mass (33.33%). In the majority of patients [28 (37.33%)], the ampullary region in the fallopian tube was the site of EP. History of pelvic inflammatory disease was most common risk factor [26 (19.5%)]. Surgical management was done in 74 cases and one case was managed medically. Salpingectomy alone was done in 47 (62.67%) cases. Rupture ectopic pregnancy was seen in 71 (95%) cases where all cases needed blood transfusion. One patient needed ventilatory support/ICU admission and had mortality. Conclusion We report a frequency of 5.55% for EP. The patients with EP were in the age groups of 20-40 years and belonged primarily to lower socioeconomic class. The most common symptom was amenorrhea. The most common site of ectopic pregnancy was the ampullary region. Rupture ectopic is a common worrisome complication. Early diagnosis of the site and surgical management is the key to better management of ruptured cases.

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Clinical study of ectopic pregnancy

Cited by 2 publications

References 0 publications

Understanding Adolescent Gynecological Issues: A Cross-Sectional Study at a Tertiary Care Center

Understanding Adolescent Gynecological Issues: A Cross-Sectional Study at a Tertiary Care Center

Clinical Profile, Risk Factors and Outcomes of Ectopic Pregnancy in a Tertiary Care Hospital: A Prospective Indian Study

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