Abstract— Ectopic pregnancy is an important cause of maternal morbidity & mortality in the first trimester. Treatment of ectopic pregnancy was limited to surgery. In spite of advancement of diagnosis & management it is still a very serious threat to maternal safety, so this case-series type of study was conducted on 58 ectopic pregnancies to study the clinico-epidemiology and outcome of medically managed ectopic pregnancy at a tertiary level hospital. Out of total 20,354 pregnancies, 443 (2.1%) were ectopic pregnancies. Most common site of ectopic pregnancy was Fallopian tubes in 94.8% cases followed by ovary in 3.4% cases and heterotopic in 1.7%. Age range was 17 years to 36 years with mean age 28.12 ± 4.10 years. Parity wise maximam were nulliparous (53.4%) followed by para one (25.9 %), para two (19%) and para three (17.2 %). Ectopic pregnancies on right side were found in 55.2% while in left side in 44.8% 75.8% had bleeding per vaginum and 74.1 % had pain abdomen as their chief complaints. History of abortion was found in 44% cases and past history of ectopic pregnancy was found in 8.6% cases whereas past history of pelvic inflammatory disease in 22.4% cases and infertility in 13.8% cases. 1.7% cases had IUCD in situ while 5.2% cases had history of past IUCD insertion. History of ovulation induction was present in 8.6% cases, 3.4% cases were IVF conceived and 1.7% underwent laparohysteroscopy for infertility treatment. In this study success rate of methotrexate therapy was found 93.1%. Emergency surgery was needed only in 6.9% of cases. So it can be concluded that bleeding per vegina and pain abdomen may be investigated for ectopic pregnancy and ectopic pregnancies should be treated first line with methotrexate before surgery.
Keywords: Ectopic Pregnancy, Methotrexate, Clinico-epidemiology.
Click here to Download Full Paper
AD Publications is a rapidly growing academic publisher in the fields of Engineering, Medical-Health, Environmental Science and Agriculture Research. AD Publications is a registered organization broad-based open access and publishes most exciting researches with respect to the subjects of our journals. The Journals is being indexed and abstracted by all major global current awareness and alerting services.
The organization aims at undertaking, co- coordinating and promoting research and development. It provides professional and academic guidance in the field of basic education, Higher Education as well in the Technical Education. Our Aims is to Promote and support, High Quality basic, Scientific Research and development in fields of Engineering, Medical-Health, Environmental Science and Agriculture Research and to Generate Public awareness, provide advice to scholar’s researchers and communicate research outcomes.
Some Important Links About Research Journal
International Journal
Agriculture Journal
Medical Journal
Environmental Journal
Engineering Journal