A Clinical Study of Incidence and Determinants of Ectopic Pregnancy in a Tertiary Centre
Ectopic pregnancy is leading cause of maternal morbidity and mortality in first trimester. It accounts for 2% of all pregnancies. Aims and objectives: To find out the incidence of ectopic pregnancy in our hospital and to determine the risk factors, clinical presentation, management and outcome of ectopic pregnancy. Methods: A Hospital based Retrospective clinical study carried out in Department of Obstetrics and Gynaecology of Sapthagiri Institute of Medical Sciences and Research Centre, Bengaluru for four years from August 2019 to August 2022. Results: The incidence of ectopic pregnancy was 2.8%, of which 93.93% were ruptured, 6.06% unruptured and 4.54% heterotopic pregnancies. Maximum patients (65%) were among age group of 21 to 30 years and were multigravida, 45.4% presented between 7-8+6 weeks of gestation. The common risk factor was previous abortion with Dilatation and curettage. Surgical management with salpingectomy was done in majority of cases(86.3%). 91% of ectopic pregnancy was in fallopian tube, 2 in ovaries and 1 in rudimentary horn of bicornuate uterus. The commonest site was ampulla (45.4%). Outcome was studied by need of blood transfusion in 39.3%, ICU admission in 15.15%. No maternal mortality encountered in this study. Conclusion: Since the incidence of ectopic pregnancy is on raising trend, high index of suspicion, early diagnosis and management are required to reduce maternal morbidity and mortality and for conservation of future reproductive capacity.