Abstract
OBJECTIVE: To determine Clinical presentation and risk factors of Ectopic pregnancy to highlight and
drawing attention for early diagnosis and prompt management.
METHODOLOGY: This retrospective study was conducted in Department of Gynecology and Obstetrics
at Liaquat University Hospital Hyderabad from January 2018 to December 2018. During one year of study
period, 25 cases of ectopic pregnancies were enrolled in the study. In all cases age, parity, gestational
age, risk factors, signs and symptoms, site of ectopic pregnancy and surgical intervention were noted
on Performa and data was analyzed, results depicted in charts and tables.
RESULTS: Most patients aged between 20-30 years with gestational age of 2 months, in parity 08 were
primigravida, 06 were gravida 1, 05 were gravida 2, 03 in each gravida 3 and 4. One patient had a history
of miscarriage, 02 underwent infertility treatment, 03 had previous ectopic pregnancy, 02 patients with
previous cesarean section, while 08 patients given the history of pelvic inflammatory diseases. Six
patients were diagnosed clinically while 15 cases through abdominal ultrasound and 4 through
transvaginal ultrasound. Amenorrhea was present in 22 patients, vaginal bleeding in 20 cases and lower
abdominal pain in 18 cases, while 08 patients presented in shock.
CONCLUSION: Early diagnosis prevents complications such as rupture of ectopic pregnancy, which end
up with excision of fallopian tube or ovary badly affecting fertility.
Shazia Rani, Pushpa Goswami, Farhana Rajpar, Shazia Awan , Fahmida Gul. (2019) Clinical Analysis of Ectopic Pregnancy in a Tertiary Care Hospitals, Journal of Liaquat University of Medical and Health Sciences, Volume-18, Issue-4.
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