Ectopic pregnancy after levonorgestrel emergency contraception

Karataş, Ahmet; Ilgin, Halil; Özlü, Tülay

doi:10.5455/2320-1770.ijrcog20131262

Cited by 2 publications

(1 citation statement)

References 4 publications

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“…History of OCP usage was found in 37.0% of the cases and emergency pill use alone was 28.4%, followed by MTP in 22.2% patients. Our finding with history of emergency pill usage was comparable to the finding of Surie et al 15 Decrease intrauterine pregnancy occurs with emergency contraceptive usage but occurrence of EP in emergency pill failure is a known factor 16 as reported by case study and various scientific reviews. 17,18 Our study finding is comparable to the finding of Barik et al, 12 who in their study suggest that there is significant risk for the development of ectopic pregnancy among emergency contraceptive pill users compared to non-users, which could be attributed to failure rate.…”

Section: Discussionsupporting

confidence: 91%

To determine the burden of ectopic pregnancy in the tertiary care centre (TRIHMS) of Arunachal Pradesh and its implication on the type of surgical and anaesthetic management

Saring¹,

Basar²,

Yam³

2023

PJMS

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The incidence of Ectopic Pregnancy (EP) is 1 – 2% in India, with mortality rate of none to 3.5%. It is considered to be emerging as one of the leading problem for woman’s fertility with major mortalities in reproductive age group.In this study we had intended to find out the incidence of EP in tertiary care centre of Arunachal Pradesh along with clinical presentation and mode of surgical and anaesthetic management. After clearance from Institutional ethics committee, patients’ with diagnosis of ectopic pregnancy, whether elective or emergency were included in this study. This study aimed to determine the incidence of EP, type of surgical intervention and mode of anaesthesia. 81 diagnosed cases of EP admitted in obstetrics ward were enrolled for this study. The incidence of EP was 22.9 per 1000 deliveries in tertiary care centre of state of Arunachal Pradesh. Emergency contraceptive pill intake was single most leading risk factor in this study, with history of intake in 28.4% of the cases. 85.2% cases had salphingectomy and 90.1% surgeries were conducted under spinal anaesthesia EP may be rising in recent trends due emerging use of contraceptive and other reproductive techniques. We conclude that the ectopic pregnancy is major cause of morbidity in reproductive female age group; however, with timely diagnosis and collaborative obstetrical and anaesthetic management, its mortality can be reduced significantly.

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