Ectopic pregnancy continues to be a leading cause of maternal morbidity and tubal rupture, it is still a life threatening complication with inevitable loss of pregnancy &reduced childbearing potential among women of reproductive age. The objectives of present study are to evaluate maternal obstetric related risk factors and maternal outcome.
Methods: In this Retrospective study of 55 cases of ectopic pregnancies from Government General hospital attached to Rangaraya Medical College a teaching &referral hospital, who underwent emergency surgical intervention were analyzed for obstetric risk factors, clinical presentation, gestational age, surgical procedures and maternal outcome. Diagnosis is done by paracentisis, culdocentesis, USG, urine and serum Beta hcg.
Results: The most common age of women was between 20-25yrs in 38.38%. Pain abdomen and bleeding PV were common symptoms in 27.27%. Most common risk factor for occurrence of ectopic pregnancy was following tubectomy. Ampullary region is the most common site. Cervical tenderness is the most common sign compared to others. In most patients Salpingectomy was performed. In few patients Total Abdominal Hysterectomy was performed. Intra operative and postoperative period of all 55 cases were uneventful.
Conclusion: This suggests that ectopic pregnancy is less suspected in these women. High degree of suspicion, timely recognition, decision making and intervention are required in obstetric ectopic emergencies to reduce maternal morbidity and mortality.