Volume 27
Number 2 July 2017Ectopic pregnancy: Interventional Outcome at Tertiary Hospital
DOI: https://doi.org/10.47648/jmsr.2017.v2702.02
Sultana S1 , Yesmin S2 , Noor A N3 , Dewan S4 , Aman N F 5
Abstract
The aim of this study is to determine the incidence and to evaluate and analyse the clinical presentation, risk factor and treatment of ectopic pregnancy in Holy Family Red Crescent Medical College Hospital, Dhaka. A prospective study was conducted in Department of Obstetrics and Gynaecology from August 2016 to December 2017. The study subjects included 50 women diagnosed with ectopic pregnancy (EP) to receive the treatment of medical and surgical procedure. In this study group the incidence was 4.7% among total gynecological admitted patient (2017) and the risk were within the age group 27-35 years. Majority of patients were having triad of symptom such as abdominal pain, secondary amenorrhoea and vaginal bleeding. Past NO abortion and abdomino-pelvic surgery were 66%. The commonest modality of treatment was Laparotomy (41 of 50, 86%), others were conservative with Inj. Methotrexate, failed conservative followed by Laparotomy (4%) and Laparoscopy (2%). EP is a common and life threatening entity. Women with infertility and past abdomino-pelvic surgery, MR, abortion are particularly at risk. Early diagnosis and intervention can reduce the mortality and morbidity of women having EP.
Keywords:
- Associate Professor, Department of Obstetrics and Gynaecology
- Assistant Professor, Department of Obstetrics and Gynaecology
- Registrar, Department of Obstetrics and Gynaecology
- Resident, Department of Obstetrics and Gynaecology
- Intern Doctor, Department of Obstetrics and Gynaecology