Clinical Analysis of Ectopic Pregnancy in a Tertiary Care Hospitals
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 f...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Liaquat University of Medical and Health Sciences
2019-12-01
|
| Series: | JLUMHS |
| Subjects: | |
| Online Access: | https://www.lumhs.edu.pk/jlumhs/Vol18No04/pdfs/05.pdf |
| _version_ | 1797817330685706240 |
|---|---|
| author | Shazia Rani Pushpa Goswami Farhana Rajpar Shazia Awan Fahmida Gul |
| author_facet | Shazia Rani Pushpa Goswami Farhana Rajpar Shazia Awan Fahmida Gul |
| author_sort | Shazia Rani |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-13T08:51:51Z |
| format | Article |
| id | doaj.art-06c07eec35f644d7bc720290892a72e7 |
| institution | Directory Open Access Journal |
| issn | 1729-0341 2309-8627 |
| language | English |
| last_indexed | 2024-03-13T08:51:51Z |
| publishDate | 2019-12-01 |
| publisher | Liaquat University of Medical and Health Sciences |
| record_format | Article |
| series | JLUMHS |
| spelling | doaj.art-06c07eec35f644d7bc720290892a72e72023-05-29T09:46:53ZengLiaquat University of Medical and Health SciencesJLUMHS1729-03412309-86272019-12-011804266271doi:10.22442/jlumhs.191840640Clinical Analysis of Ectopic Pregnancy in a Tertiary Care HospitalsShazia Rani0Pushpa Goswami 1Farhana Rajpar 2Shazia Awan 3Fahmida Gul4Liaquat University of Medical & Health Sciences (LUMHS), Jamshoro, Sindh-PakistanLiaquat University of Medical & Health Sciences (LUMHS), Jamshoro, Sindh-PakistanLiaquat University of Medical & Health Sciences (LUMHS), Jamshoro, Sindh-PakistanLiaquat University of Medical & Health Sciences (LUMHS), Jamshoro, Sindh-PakistanLiaquat University of Medical & Health Sciences (LUMHS), Jamshoro, Sindh-PakistanOBJECTIVE: 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.https://www.lumhs.edu.pk/jlumhs/Vol18No04/pdfs/05.pdfkeywords: ectopic pregnancycervical excitationclinical analysistvs |
| spellingShingle | Shazia Rani Pushpa Goswami Farhana Rajpar Shazia Awan Fahmida Gul Clinical Analysis of Ectopic Pregnancy in a Tertiary Care Hospitals JLUMHS keywords: ectopic pregnancy cervical excitation clinical analysis tvs |
| title | Clinical Analysis of Ectopic Pregnancy in a Tertiary Care Hospitals |
| title_full | Clinical Analysis of Ectopic Pregnancy in a Tertiary Care Hospitals |
| title_fullStr | Clinical Analysis of Ectopic Pregnancy in a Tertiary Care Hospitals |
| title_full_unstemmed | Clinical Analysis of Ectopic Pregnancy in a Tertiary Care Hospitals |
| title_short | Clinical Analysis of Ectopic Pregnancy in a Tertiary Care Hospitals |
| title_sort | clinical analysis of ectopic pregnancy in a tertiary care hospitals |
| topic | keywords: ectopic pregnancy cervical excitation clinical analysis tvs |
| url | https://www.lumhs.edu.pk/jlumhs/Vol18No04/pdfs/05.pdf |
| work_keys_str_mv | AT shaziarani clinicalanalysisofectopicpregnancyinatertiarycarehospitals AT pushpagoswami clinicalanalysisofectopicpregnancyinatertiarycarehospitals AT farhanarajpar clinicalanalysisofectopicpregnancyinatertiarycarehospitals AT shaziaawan clinicalanalysisofectopicpregnancyinatertiarycarehospitals AT fahmidagul clinicalanalysisofectopicpregnancyinatertiarycarehospitals |