A Clinical Study of Ectopic Pregnancy 867-869
Dr. Rashmi A Gaddagi,
Assistant Professor in Department of OBG,
PUSHPAGIRI ; 1675/92,93; Ranganath badavane main road
Near Hadadi Road; Davangere 577005, Karnataka, India.
E-mail: email@example.com, firstname.lastname@example.org
Background- Motherhood- An eternal, universal and inherent dream which every woman has. This dream may not always be pleasant and it can involve nightmares. One of this is ectopic pregnancy â€“ a pregnancy which can be life threatening . The present study involves a study on all the cases of ectopic pregnancy who were admitted to the Cheluvamba hospital during November 2004 to May 2006.
1. To know the age group, parity and the risk factors with reÂ¬spect to the ectopic pregnancy. 2. To know the clinical presentation of the ectopic pregnancy. 3. To know the outcome of the ectopic pregnancy.
Materials And Methods- A total of 37 patients who were diÂ¬agnosed as ectopic pregnancy cases were analyzed between the period from November 2004 to May 2006. All these cases were analyzed after applying the inclusion and exclusion criteria with respect to the 1. History 2. Clinical presentation 3. Investigations 4. Treatment
Results- The incidence of the ectopic pregnancy in the presÂ¬ent study was 1:399 pregnancies . A majority of the cases were multigravidas. In most of the cases, there were no identiable risk factors. However, they did present with pain in the abdomen, amenorrhoea and bleeding per vagina in at least 50% of the cases. Almost half (40%) were in a state of shock at admission. Ultrasound , a urine pregnancy test and culdocentesis were the investigative modalities which were used. All the cases were managed by surgical management. On laparotomy, a majority of the cases were found to be ampullary pregnancies, followed by interstitial pregnancies. The tube was ruptured in almost 80% of the cases and there was a haemoperitoneum. Almost all the patients had intraoperative and/ or postoperative blood transfusions. There was no significant post operative morbidity in these cases.
Interpretation And Conclusion- The early diagnosis of an ectopic pregnancy is one of the greatest challenges for a physician. It requires a high index of suspicion i.e to diagnose an ectopic pregnancy, one must be ectopic minded .The im-portance of an early diagnosis lies in the fact that the lady can be offered a conservative line of management which can definitely have a beneficial effect on her reproductive career.