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Volume 12 Issue 4 ( October-December ) 2023

Original Articles

Clinical Outcomes Associated with Ectopic Pregnancy
Dr. Tania Verma, Dr. Sunita Attri

Background: Ectopic pregnancy present intricate challenges in reproductive health, requiring careful medical attention due to their unique clinical complexities and potential complications. This study aims to enhance our understanding of the incidence and clinical characteristics of patients presenting with ectopic pregnancy. Methods: A prospective study was conducted at Department of Obstetrics and Gynaecology, SMGS Hospital, GMC Jammu, from March 2020 to February 2021. The study included all cases of Ectopic pregnancy admitted in Emergency and those presenting at the Gynecology Outpatient Department. Results: The mean age of the studied patients was (26.1±4.29) years, ranging from 18 to 40 years, with the majority (56.9%) falling within the 20-24 age range. Parity distribution revealed nullipara (12.3%), para 1 (23.1%), para 2 (41.5%), para 3 (15.4%), and ≥ para 4 (7.7%). Abdominal pain was the predominant symptom (95.4%), followed by amenorrhea (83.1%), dizziness (78.5%), vaginal bleeding (49.2%), shock (21.5%), shoulder tip pain (13.8%), and diarrhea (4.6%).The majority of Ectopic pregnancy were located in the ampulla (61.5%), followed by the isthmus (21.5%). The most prevalent risk factor was a history of previous spontaneous abortion (75.4%), with pelvic inflammatory disease closely following as a significant risk factor (53.8%). Most of the patients were successfully managed with the help of salpingectomy. Conclusion: The predominant clinical presentation of abdominal pain and the common locations of Ectopic pregnancy in the ampulla and isthmus further underscore the need for vigilant awareness and tailored interventions in reproductive health.

 
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