Ectopic pregnancy is the pregnancy that implanted outside the endometrial cavity and it is a medical emergency. Common complication that occurs is rupture of the fallopian tube and tubal abortion that leads to massive hemorrhage. Due to modern methods of diagnosis and treatment the patient can be treated before the symptoms and signs appear. Determination of β-HCG serum levels together with transvaginal ultrasound helped to improve diagnosis.
Material and Methods: We conducted a retrospective study on a 52 patients admitted to tertiary care in the department of OBGY, Smt. Kashibai Navale Medical College and General Hospital, Pune, India over a period of two years 2019 and 2020. Patient’s records were retrieved from record section. We analyzed each patient, clinically hemodynamic stable or unstable. Hemodynamically stable patient had given medical treatment where unstable patient have received surgical treatment.
Results: A total number of 52 patients with ectopic pregnancy were identified and studied. The rate of ectopic pregnancy was 1:70 to 1:100 deliveries. Emergency laparotomy was performed in 35 (67.3%) women, 17 (32.7%) received methotrexate injection. All cases of laparotomy did not require any further procedure. Fifteen out of seventeen (88%) cases of medical treatment were successful while two (12%) proceeded to emergency laparotomy. The duration of hospital stay in laparotomy and medically treated was 6.5 and 5.9 days respectively considering few patients who took discharge against advice but followed in out patient department.
Conclusion: In the institutional setting ectopic pregnancy accounted for 1% to 1.4% of total deliveries. More than half of all women with ectopic pregnancy presented with acute abdomen and required emergency laparotomy. About 33% women could be managed with medical modalities with 88% success for methotrexate injection.