Abstract: Aims and Objectives: To study the incidence, risk factors, clinical presentations and sites of Ectopic pregnancy among the patients attending to department of Obstetrics and Gynecology, kamineni institute of medical sciences, Narketpally.
Materials and Methods: The current prospective study was conducted over a period of 2 years from May 2022 to May 2024 in the department of Obstetrics & Gynecology at Government general hospital, Narketpally, Telangana. Various parameters studied were age, parity, risk factors, symptomatology and sites of ectopic pregnancy, laterality of ectopic pregnancy, and requirement of blood transfusions, length of hospital stay.
Results: A total of 30 patients were admitted with ectopic pregnancy during the study period amounting to an incidence of 3 per 1000 deliveries. Most of the patients were multiparous belonging to the age group 21 to 34 years. Risk factors were present in 80% of cases, the commonest being previous abortion (60%) followed by tubal surgery (20%). The classic triad symptoms observed were history of amenorrhea, pain abdomen and bleeding per vagina. Isthmus (53.3%) and Ampulla (23.3%) part of the fallopian tube was the most frequent site. Right fallopian tube (63.3 %) was observed to be the most common site of occurrence of ectopic pregnancy. On an average of two units of blood transfusion was administered for each surgery. All patients were managed by surgical intervention within three hours of admission.
Conclusion: Ectopic pregnancy is a challenge for every obstetrician due to its bizarre clinical presentation. Early diagnosis and early intervention would reduce the morbidity and mortality in ectopic pregnancy. Hence ectopic pregnancy should be highly anticipated on an emergency basis in a woman in reproductive age.
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