International Journal of Clinical Obstetrics and Gynaecology
2019, Vol. 3, Issue 6, Part D
Ectopic pregnancy prospective analytic study
Author(s): Dr. Majida Kadhim Atiyah, Dr. Entesar Mahmood Amer and Dr. Ahlam Mahdi Mousa
Abstract: This is a prospective study carried out at the maternity and pediatrics teaching hospital in Al-Najaf by reporting the clinical presentations, investigations and management of women with ectopic pregnancy. The study was carried out at a period between the first of January -2001 to the 30th of Jun 2003. A total of 70 patients are included in this study all were admitted to maternity and pediatrics hospital in Al-Najaf, full history are taken and if possible a review of her previous medical record i.e admission for PID or record of previous laparotomy. Full examinations are done for the patients then we follow up the patients at theater for the type of operations. From this study noted · Peak age incidence was 23-33 years (60%). · Nulliparous patients was 42(60%) patients. · 38(54.2%) of the patients had previous inﬂammatory diseases. · 55(78.5%) of patients were not using any methods of contraception while 4(5.7%) and 10(l4.2 %) were using l.U.C.D and C.O.C.P respectively. · Abdominal pain 48(68.5%), Irregular vaginal bleeding 15 (21.4%) and in state of shock 7(10%) respectively were the most frequent presenting complaints. · 50(7l.4 %) of patients had rupture tubal pregnancy at presentation. All patients had laparotomy and had right and left salpingectomy respectively 36(51.4%), 28(40%) and 2 cases in the rudimentary horn and remove the horn and 4 cases only salpingectomy. Our study confirmed that the majority of patients with ectopic pregnancy are nulliparous in their mid-thirty with history of previous pelvic inﬂammatory disease and not used any type of contraception prior to the ectopic pregnancy and management options is limited to laparotomy and salpingectomy with occasional salpingectomy.