EC Gynaecology

Background: Ectopic pregnancy is defined as the implantation of the blastocyst anywhere other than the endometrial lining of the uterine cavity [1]. Overall incidence is 1 - 2% among general population [2]. Most common location is the fallopian tubes (ampullary, isthmo-ampullary, isthmial and fimbrial) cornual, cervical, ovary and scar ectopic, heterotopic pregnancy. The classical triad of symptoms include abdominal pain abdomen, bleeding per vagina, amenorrhea, positive UPT test. Early diagnosis and treatment of this condition over the past two decades has allowed a definitive medical management of unruptured ectopic pregnancies over radical procedures [3].

Aims and Objectives: To study the risk factors and clinical presentation of ectopic pregnancies.

Methods: Present study is an observational study conducted on 100 women of age 18 to 45 years presenting with ectopic pregnancy in department of Obstetrics and Gynaecology at ESIC-MC and PGIMSR Hospital, Bangalore over a period of 36 months from January 2018 - December 2020.

Results: In present study ruptured ectopic pregnancy is commonly seen in women in reproductive age group and mostly in low socioeconomic status 74%. They most commonly presented with history of amenorrhea, pain abdomen and bleeding per vagina. The most common risk factors were previous ectopic, history of tubal surgeries, history of LSCS and PID.

Conclusion: Identifying the risk factors for ectopic pregnancies help in early diagnosis and thus early management decreasing the morbidity.

 Keywords: Ectopic Pregnancy; Reproductive Age; Tubal Surgery; LSCS; Pelvic Inflammatory Disease

1. Schorge Schaffer., et al. “Williams gynaecology”. Chapter 7: ectopic pregnancy. 1^st McGraw Hill companies (2008).
2. Barnhart K. “Ectopic pregnancy”. New England Journal of Medicine 361 (2009): 379-387.
3. Stovall TG., et al. “Outpatient chemotherapy of unruptured ectopic pregnancies”. Fertility and Sterility 3 (1989): 435-438.
4. Musa J., et al. “Ectopic pregnancy in Jos Northern Nigeria: prevalence and impact on subsequent fertility”. Nigerian Journal of Medicine 1 (2009): 35-38.
5. Samiya M., et al. “Ectopic pregnancy: An analysis of 114 cases”. JK Practitioner4 (2012): 20-23.
6. Shetty S and Shetty A. “A clinical study of ectopic pregnancies in a tertiary care hospital of Mangalore, India”. Innovative Journal of Medical and Health Science1 (2014): 305-309.
7. Poonam Y., et al. “Ectopic pregnancy-two years review from BPKIHS, Nepal”. Kathmandu University Medical Journal 4 (2005): 365-369.
8. Bhavna Gupta KB., et al. “Risk factors for ectopic pregnancy: A case control study in tertiary care centre”. Journal of Dental and Medical Sciences3 (2014): 23-27.