Clinical Presentation of Ectopic Pregnency and Its Management
Objective: Objective of this study was to know incidence and different clinical presentations of ectopic pregnancy and its management which may help in early diagnosis of this abnormal condition and to save life of the mother.
Patients and Methods: This is a cross sectional type of study conducted in gynae and obs. Twenty eight female patients with the suspicion of ectopic pregnancy were involved in the study. Out of them 0nly 15 were diagnosed with ectopic pregnancy. Sign and symptoms at the time of presentation were recorded. Different modes of ectopic were recorded after confirming by necessary investigations. This study was conducted in Gynae and Obs unit of Bahawal Victoria Hospital Bahawalpur. Duration of study was from January 2017 to July 2017. Data collected was analyzed and expressed using charts and tables. Range of patient’s age was from 18 years to 35 years with mean age of 24 years.
Results: In Gynae and Obs unit of B.V Hospital 2200 cases were admitted with pregnancy during the period of six months from Jan 2017 to july 2017. Among them only 28 cases were presented with signs and symptoms suggesting ectopic pregnancy. After all necessary investigations only 15 were diagnosed with ectopic pregnancy. The incidence of ectopic pregnancy was calculated as 6.8 per 1000 pregnancies. Those with ectopic pregnancy were underwent laparotomy and all of them were survived. Out of these 15 cases 12(80%) were having tubal pregnancy, 2(13.3%) with ovarian pregnancy and one (6.65%) having pregnancy in broad ligament. Among them 93.3% presented with abdominal pain, 53.3% with amenorrhea, 40% with symptoms of pregnancy and 60% with vaginal bleeding. Signs in these patients were abdominal tenderness in all cases, abdominal mass in 20%,shock in 40% and uterine enlargement in 13.3% cases.
Conclusion: ectopic pregnancy is a common problem among females. It is confirmed by leparotomy. If not treated it can leads to death. There are different types of diagnostic tests for ectopic pregnancy.
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