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Research Paper | Obstetrics and Gynecology | India | Volume 12 Issue 1, January 2023

A Clinical Study on Ectopic Pregnancy at Rural Tertiary Care Center

Dr. Rao Meghana | Dr. Pandula Revathi

Abstract: Aim: To study the incidence of ectopic-pregnancy and the high risk factors as well as to understand the various clinical presentations, treatment and assessment of risk of maternal morbidity, mortality in a tertiary care hospital. Methods: This study is a hospital based retrospective observational study on patients who presented to our department with clinical features of ectopic-pregnancy and later confirmed with ultrasound or intraoperative findings from January 2021 to December 2022. Out of 2102 deliveries during this period, 26 cases were diagnosed as ectopic pregnancy. All the women were analysed with respect to the history, clinical presentation, investigations and treatment, complications and the requirement for blood transfusion. Conclusion: Ectopic pregnancy is major cause of maternal morbidity and mortality in first trimester. There is an increase in the incidence of ectopic-pregnancy but a decrease in maternal morbidity and mortality during the past two decades due to advanced diagnostic techniques, human-chorionic-gonadotropin assay for the early detection and treatment. All Gynecologists should have basic knowledge about the clinical presentation, risk factors, prompt and efficient referral system, efficient transportation, which will ensure early presentation in hospitals and immediate management of cases. We had to manage most of the women as surgical emergencies, as they were brought late, with ruptured ectopic pregnancy. High suspicion index and early diagnosis is essential for successful management.

Keywords: Ectopic, Pregnancy, Maternal, Mortality, Morbidity

Edition: Volume 12 Issue 1, January 2023,

Pages: 945 - 947