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Volume 13 Issue 1 (January) 2024

Original Articles

Ectopic Pregnancy in Tertiary Care: Unveiling Clinical Profiles and Analyzing Outcomes
Dr. Swati, Dr. Indu Kumari

Background: To investigate the clinical characteristics, treatment approaches, and results in patients diagnosed with ectopic pregnancy (EP) upon hospital presentation. Methods: A prospective observational study was conducted on 150 women diagnosed with ectopic pregnancy, drawn from a pool of 2700 women attending the Gynecology department over a two-year period. Patient-specific information, including age, socioeconomic status, referral sources, symptoms, obstetric history, and clinical indicators, was meticulously documented. Ultrasound examinations were performed to identify the precise location of the ectopic pregnancies. Adherence to hospital protocols guided the management of patients, with subsequent recording of outcomes for comprehensive analysis. Results:The frequency of EP in the present study was 6.55%. The majority of the cases (60%) were between 20-30 years of age, from the lower middle class (57%), referral cases (63%), and multigravida (i.e. >G4) (31%) cases. Amenorrhea was the most common symptom seen in 146 (97.33%) cases. Conclusion:We present an observed frequency of 6.55% for ectopic pregnancies (EP). The affected individuals, falling within the 20-40 age range, were predominantly from the lower socioeconomic class. Amenorrhea emerged as the most prevalent symptom. Notably, the ampullary region stood out as the most frequent site for ectopic pregnancies. Ruptured ectopic cases were identified as a significant and concerning complication. Timely diagnosis of the site, coupled with surgical intervention, emerged as crucial elements for effectively managing cases with rupture, emphasizing the importance of early intervention in optimizing outcomes.

 
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