Profile of Ectopic Pregnancy in Tertiary Level Hospital in Uttarakhand, India

Abstract

Introduction: Ectopic pregnancy is an emergency in obstetric wards and a significant cause of maternal morbidity and mortality. Incidences of ectopic pregnancy are increasing. Life can be saved with quickness and alertness. Objective: The objective of this study is to find out and evaluate the incidence, clinical presentation, risk factors, and management outcomes of ectopic pregnancies at Sri Guru Ram Rai Institute of Medical and Health Sciences (SGRRIMHS), Dehradun, Uttarakhand, India. Method: We did a retrospective study of the patients admitted in our hospital (SMI Hospital, SGRRIMHS) and study period was January 1, 2004 to December 31, 2013. Medical records were studied for management, total admission in obstetric wards, total births. Data were collected with the aid of data-entry forms designed for study. There were 4040 ANC patients admitted, out of which 202 cases were ectopic pregnancies. The relevant data collected were analyzed with SPSS for Windows. Result: Ectopic pregnancy constituted 5.0% of all ANC cases admitted in our Hospital. The mean age of patients was 25 ± 2 years, 192 of 202 (95.04%) had ruptured pregnancies, and remaining 10 (4.96%) were unruptured. The commonest clinical presentation was abdominal pain (162 of 20280.19%). The commonest (120 of 202, 59.4%) cause was past history of induced abortion. 4 deaths (1.98%) were recorded. Conclusion: Ecotopic pregnancy is common and recognized cause of maternal morbidity and mortality. It is a recognized risk of induced abortion.