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Analysis Study Research Paper | Obstetrics and Gynecology | India | Volume 11 Issue 10, October 2022
Analysis of Metacyesis (EP) in a Tertiary Care Institute
Dr Pratibha Vashisth | Dr J. N. Senapati | Dr Misbah Inamdar | Dr Kavita Velankar
Abstract: Objective: This study aims at determining the incidence, demographic profile, risk factors, clinical features and treatment modalities of metacyesis (EP). Study Design: Retrospective observational study. Place and Duration of Study: Obstetrics and Gynaecology Department, Rajiv Gandhi Medical College, kalwa, Mumbai, from 1st March 2022 to 31stAugust 2022. Methodology: This was a retrospective observational study comprising 42 cases admitted to the Obstetrics and Gynaecology department of Rajiv Gandhi Medical College, Kalwa, Mumbai, from 1st March 2022 to 31st August 2022. All women of any age or parity with diagnosis of extrauterinepregnancy were included and treated surgically or medically. Results: The incidence of ectopic gestation was 1.16%over 6 months. The majority of patients (57.14%) were young and were between 25 to 35 years of age. It was most common in multi-parous women. Pelvic inflammatory disease was seen in 38.1%, followed by history of infertility (19.05%) and history of surgical contraception (9.52%) while no identifiable risk factors were observed in 26.19% of extrauterine pregnancies. Most typical presenting symptoms were lower abdominal pain (92.86%), amenorrhea (86%), p/v bleeding (42.85%) and shock (40.7%). Themajority of patients (85.71%) underwent surgical procedures. Conclusion: Timely diagnosis and referral to a health care facility, equipped with blood bank services and aggressive management can reduce ectopic pregnancy associated with maternal morbidity and mortality.
Keywords: Amenorrhoea, BhCG, Ectopic pregnancy, Maternal mortality, Scar ectopic, Risk factors, Extrauterine pregnancy, Ultrasonography, Vaginal bleeding
Edition: Volume 11 Issue 10, October 2022,
Pages: 180 - 183