Risk Factors For Ectopic Pregnancy : A Case Control Study In Tertiary Care Centre

Bhavna,; Gupta, Kamali; Pathania, Kushla; Jindal, Monika; Vohra, Rashmi; Ahmed, Dr.Mushtaq

doi:10.9790/0853-13342327

Cited by 8 publications

(12 citation statements)

References 8 publications

(11 reference statements)

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“…In the present study group, history of PID was present in 28% of the cases with ectopic pregnancy. This is correlating with the study done by Bhavna, et al 15 22.7%of the cases with ectopic pregnancy.…”

Section: Discussionsupporting

confidence: 92%

A study on risk factors and clinical presentation of ectopic pregnancy

Nethra¹,

Praneetha²,

Sreelatha³

et al. 2018

OBGYN

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Objectives: The present study was designed to study the risk factors of ectopic pregnancy and their clinical presentation. Material and methods: It was a retrospective study with 100 cases of ectopic pregnancy conducted in the Department of Obstetrics and Gynecology, ESIC MC PGIMSR, Rajajinagar, Banglore for a period of 2 years were included. Detailed history suggestive of risk factors for ectopic pregnancy, menstrual and obstetric history was taken. Results: A total of 7200 pregnancies were confirmed during the study period, of which 100 cases of ectopic pregnancies were diagnosed, giving an incidence of 1.38%. Sixty three percent were in the age group of 21-30 years. Seventy six percent of women were multigravidae. Forty eight percent of the patients had identifiable risk factors, of which past history of pelvic inflammatory disease in 28%, history of previous abortion in 16%, infertility in 10%, history of previous ectopic pregnancy in 14%, history of previous caesarian section in 18% and tubectomy in 14% were noted. Ninety six percent had amenorrhea, followed by pain abdomen in 88%, bleeding per vagina in 78%, fainting and syncopal attack in 16% of the patients. Pallor in 56% of the cases, 10% presented with shock. Conclusion: The early diagnosis of an ectopic pregnancy is one of the greatest challenges for a physician. It requires a high index of suspicion in case of clinical presentation of pain abdomen, bleeding per vagina with amenorrhoea. The importance of an early diagnosis lies in the fact that the patient can be offered a conservative line of management which can definitely have a beneficial effect on her future fertility.

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Section: Discussionsupporting

confidence: 92%

A study on risk factors and clinical presentation of ectopic pregnancy

Nethra¹,

Praneetha²,

Sreelatha³

et al. 2018

OBGYN

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show abstract

“…In a study by Bhavna et al, the mean age of the patients was 28.72 years, which was in concordance with the present study. 9 Similar results were obtained in other studies like Kopani et al, who reported 30.38 years and Anorlu et al who reported 27.8 years. 10,11 However, there were studies with conflicting results, to ascertain the role of age on this condition.…”

Section: Discussionsupporting

confidence: 81%

“…In the study by Bhavna et al, the multigravidae status was seen in more than 80% of the cases and 81.7% in a study by Panchal et al, which was in agreement with present study. 9,13 The most common location of the ectopic pregnancy among the women was in the ampullary region (54.8%), followed by fimbrial region (22.6%).…”

Section: Discussionmentioning

confidence: 99%

Risk factors of ectopic pregnancy: a study in a tertiary care centre

Neelima

Vanamala

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Over the years, there has been a considerable rise in the incidence of ectopic pregnancy. This study was undertaken to identify the risk factors that contribute to this condition, so that immediate action can be taken so as to save the mother.Methods: 62 women, in their first trimester of pregnancy who were diagnosed with ectopic pregnancy were included in the study. Demographic details, clinical and obstetric details were taken from all the patients. Ultrasound was performed to confirm the ectopic pregnancy.Results: Out of the 62 patients, most of them with ectopic pregnancy were found to be in the 26-30 (40.3%) year’s age group. Smoking, whether active or passive was observed in nearly 42% of the cases. The mean gravid status among the women was 3, with 34 live births. 21 of them had induced abortions and 4 were spontaneous. PID was observed in 12 patients (19.4%), 17.7% were IUD users.Conclusions: Risk factors such as previous ectopic pregnancy, use of contraceptives, infertility, PID, abortion as well as increased maternal age aid in the early detection of ectopic pregnancy in women resulting in proper and timely treatment.

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“…This is correlating with the study done by Bhavna, et al where history of PID was present in 22.7%of the cases with ectopic pregnancy. 13 PID causes damage of tubal mucosa and peritubal adhesions leading to hindrance in transportation of embryo.…”

Section: Discussionmentioning

confidence: 99%

Spectrum of ectopic pregnancy in tertiary care centre

Zuber¹,

Chaurasia²

2018

Int J Reprod Contracept Obstet Gynecol

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Background: Ectopic pregnancy is a catastrophic and life-threatening condition and one of the commonest acute abdominal emergency in day-to-day practice. Objectives of present study were to know the incidence of Ectopic pregnancy at Tertiary care centre, the age group, parity and risk factor of ectopic pregnancy, the clinical presentation of ectopic pregnancy and the outcome and management of ectopic pregnancy.Methods: It was a retrospective study conducted at Chirayu Medical College and Hospital, Bhopal from 1st June 2009 to 31st May 2014. A total of 42 patients with ectopic pregnancy were analyzed on clinical presentation, clinical findings, investigations, operative findings and outcome.Results: A majority of women (64.29%) were in the age group of 21-30 years and 78.57% were multigravida. Commonest risk factors were previous history of abortion (23.80%) and pelvic inflammatory disease (14.28%) Amenorrhea (92.85%) and pain abdomen (89.22%) were the most common presenting symptoms. Ampulla of fallopian tube was the commonest site (45.23%). Unilateral salpingectomy was performed in 40.47% patients. There were no maternal deaths and majority (80.96%) were discharged within seven days.Conclusions: Ectopic pregnancy still remains one of the major causes of maternal morbidity and mortality. Early diagnosis and referral in hemodynamically stable state along with use of minimal access surgery or medical management can change the scenario of ectopic pregnancy in the developing world.

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Risk Factors For Ectopic Pregnancy : A Case Control Study In Tertiary Care Centre

Cited by 8 publications

References 8 publications

A study on risk factors and clinical presentation of ectopic pregnancy

A study on risk factors and clinical presentation of ectopic pregnancy

Risk factors of ectopic pregnancy: a study in a tertiary care centre

Spectrum of ectopic pregnancy in tertiary care centre

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