Incidence and clinical profile of ectopic pregnancies in a tertiary hospital; A two-year Retrospective study
Introduction: Ectopic pregnancy is an emergency and a life-threatening condition which is an important cause of major maternal morbidity and mortality. This study was designed to determine incidence, common identified risk factors, clinical presentations, management, morbidity and mortality due to e...
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| Format: | Article |
| Language: | English |
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Khesar Gyalpo University of Medical Sciences of Bh
2021-06-01
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| Series: | Bhutan Health Journal |
| Online Access: | https://bhj.com.bt/index.php/bhj/article/view/129 |
| _version_ | 1797650201446449152 |
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| author | Sonam Gyamtsho Karma Tenzin Tshering Choeda Karma Lhaden Tandin Om |
| author_facet | Sonam Gyamtsho Karma Tenzin Tshering Choeda Karma Lhaden Tandin Om |
| author_sort | Sonam Gyamtsho |
| collection | DOAJ |
| description | Introduction: Ectopic pregnancy is an emergency and a life-threatening condition which is an important cause of major maternal morbidity and mortality. This study was designed to determine incidence, common identified risk factors, clinical presentations, management, morbidity and mortality due to ectopic pregnancy at the national referral hospital in Thimphu, Bhutan.
Methods: This was a retrospective study of all cases of ectopic pregnancies for a period of two years from 1st January 2018 to 31st December 2019. Socio-demographic characteristics, risk factors, clinical presentations, investigations and mode of treatments were extracted. Simple descriptive statistics such as frequencies, percentages, mean and range were utilised.
Results: There were 9603 pregnant women admitted for delivery, out of which 122 were ectopic pregnancies. The incidence of ectopic pregnancy was 12.7/1000 pregnancies. Majority of them were in the age group of 21-30 years and 32.69% of the affected were nulliparous. While Pelvic inflammatory disease was seen in 41.35%, 20.19% were unmarried. Abdominal pain, amenorrhea, and vaginal bleeding were the most common symptoms. Among the ectopic pregnancies, 99.5% were diagnosed with ultrasound. A total of 94.23% had undergone surgical intervention, of which only 1% had laparoscopic surgery. No maternal mortality had occurred.
Conclusions: Women with past history of pelvic inflammatory disease, previous miscarriage, unmarried, and nulliparous presenting with history of amenorrhea, abdominal pain, vaginal bleeding should be a high index of suspicion for ectopic pregnancy. Timely diagnosis and intervention in the form of surgical or medical management will reduced the morbidity and mortality due to ectopic pregnancy. |
| first_indexed | 2024-03-11T15:56:48Z |
| format | Article |
| id | doaj.art-42aaa8b5decc457abde618c051711290 |
| institution | Directory Open Access Journal |
| issn | 2413-2993 2415-1114 |
| language | English |
| last_indexed | 2024-03-11T15:56:48Z |
| publishDate | 2021-06-01 |
| publisher | Khesar Gyalpo University of Medical Sciences of Bh |
| record_format | Article |
| series | Bhutan Health Journal |
| spelling | doaj.art-42aaa8b5decc457abde618c0517112902023-10-25T09:38:33ZengKhesar Gyalpo University of Medical Sciences of BhBhutan Health Journal2413-29932415-11142021-06-016261110.47811/bhj.103129Incidence and clinical profile of ectopic pregnancies in a tertiary hospital; A two-year Retrospective studySonam Gyamtsho0Karma Tenzin1Tshering Choeda2Karma Lhaden3Tandin Om4Department of Obstetrics and Gynecology, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, BhutanFaculty of Postgraduate Medicine, Khesar Gyalpo University of Medical Sciences of Bhutan, Thimphu, BhutanFaculty of Postgraduate Medicine, Khesar Gyalpo University of Medical Sciences of Bhutan, Thimphu, BhutanDepartment of Obstetrics and Gynecology, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, BhutanDepartment of Obstetrics and Gynecology, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, BhutanIntroduction: Ectopic pregnancy is an emergency and a life-threatening condition which is an important cause of major maternal morbidity and mortality. This study was designed to determine incidence, common identified risk factors, clinical presentations, management, morbidity and mortality due to ectopic pregnancy at the national referral hospital in Thimphu, Bhutan. Methods: This was a retrospective study of all cases of ectopic pregnancies for a period of two years from 1st January 2018 to 31st December 2019. Socio-demographic characteristics, risk factors, clinical presentations, investigations and mode of treatments were extracted. Simple descriptive statistics such as frequencies, percentages, mean and range were utilised. Results: There were 9603 pregnant women admitted for delivery, out of which 122 were ectopic pregnancies. The incidence of ectopic pregnancy was 12.7/1000 pregnancies. Majority of them were in the age group of 21-30 years and 32.69% of the affected were nulliparous. While Pelvic inflammatory disease was seen in 41.35%, 20.19% were unmarried. Abdominal pain, amenorrhea, and vaginal bleeding were the most common symptoms. Among the ectopic pregnancies, 99.5% were diagnosed with ultrasound. A total of 94.23% had undergone surgical intervention, of which only 1% had laparoscopic surgery. No maternal mortality had occurred. Conclusions: Women with past history of pelvic inflammatory disease, previous miscarriage, unmarried, and nulliparous presenting with history of amenorrhea, abdominal pain, vaginal bleeding should be a high index of suspicion for ectopic pregnancy. Timely diagnosis and intervention in the form of surgical or medical management will reduced the morbidity and mortality due to ectopic pregnancy.https://bhj.com.bt/index.php/bhj/article/view/129 |
| spellingShingle | Sonam Gyamtsho Karma Tenzin Tshering Choeda Karma Lhaden Tandin Om Incidence and clinical profile of ectopic pregnancies in a tertiary hospital; A two-year Retrospective study Bhutan Health Journal |
| title | Incidence and clinical profile of ectopic pregnancies in a tertiary hospital; A two-year Retrospective study |
| title_full | Incidence and clinical profile of ectopic pregnancies in a tertiary hospital; A two-year Retrospective study |
| title_fullStr | Incidence and clinical profile of ectopic pregnancies in a tertiary hospital; A two-year Retrospective study |
| title_full_unstemmed | Incidence and clinical profile of ectopic pregnancies in a tertiary hospital; A two-year Retrospective study |
| title_short | Incidence and clinical profile of ectopic pregnancies in a tertiary hospital; A two-year Retrospective study |
| title_sort | incidence and clinical profile of ectopic pregnancies in a tertiary hospital a two year retrospective study |
| url | https://bhj.com.bt/index.php/bhj/article/view/129 |
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