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Volume 12 Issue 4 ( October-December ) 2023

Original Articles

Study of incidence, risk factors, clinical presentation, management and morbidity associated with ectopic pregnancy
Nazia Abdur Rab, Jabeena Banoo, Roagita Sharma, Reema Khajuria, Wajid Rana

Background: Ectopic pregnancy is a potentially life threatening condition and its increasing incidence and its impact on women’s fertility need to be studied. Aim and objective: To study the incidence, risk factors, clinical characteristics, management and immediate morbidity associated with ectopic pregnancy. Methods: This prospective observational study was conducted in the post graduate department of Obstetrics and Gynaecology, S.M.G.S Hospital, GMC Jammu, India from November 2021 to October 2022. Results: The incidence of ectopic pregnancy was 1.4%. Majority were in the age group of 24-30 years(59.5%) and were multiparous(71.9%). Main risk factors for ectopic pregnancy were history of previous abortion(28.6%), previous caesarean section(26.6%) and pelvic inflammatory disease(7.3%). Most common presenting symptoms were amenorrhea(92.7%) and pain abdomen(89.9%). Majority of cases were ruptured(71%) and thus laparotomy was done in 90.3% patients. Most common morbidity was blood transfusion which was done in 81% patients. 3% patients were admitted to ICU due to hemodynamic instability. Conclusion: By reducing and identifying the risk factors and identifying the patients at the earliest it is possible to improve the prognosis so far as morbidity and fertility are concerned.

 
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