Original Articles
Study Of Ruptured Ectopic Pregnancy During Covid Times In A Tertiary Care Hospital: A Retrospective Study | |
Saima Salam, Ufaque Muzaffar, Dr. Nitin Sepolia | |
Introduction: The challenging covid-19 infection had affected the health care system in many ways. In March 2020, WHO declared covid-19 as an infectious disease that engulfed the whole world at once. The various outpatient clinics were closed all over world. All elective procedures and surgeries were also cancelled so that the transmission of covid-19 infection could be prevented (1). During this covid-19 pandemic various patient management policies were changed [2-4]. Most of the obstetricians &gynaecologists focused on issues of normal pregnancy and its complications during the pandemic. (5) In this Study , we focus on Ectopic pregnancy because EP is the major cause of morbidity and mortality in early pregnancy (7) Methodology: This retrospective study was conducted over the period of 6 months from March 2020 to August 2020 in Lalla Ded hospital ,GMC Srinagar, which is the only tertiary care Maternity hospital of Kashmir Valley. There was a total admission of 13784 over the period of these 6 months. A total of 60 cases reported during this frame time with ruptured ectopic pregnancy and were admitted to our hospital through emergency. Results: It was found that the majority of ruptured ectopic pregnancies occurred in the females between age group 25-30 years(46.67%).The majority of ruptured EP (53.3%) were multiparous and 46.67% were primigravida. The major etiological risk factor associated in the present population study was PID in 80% of cases. There were no associated risk factors seen in 8.34% patients. Conclusion: During the covid-19 pandemic majority of the cases were referred or they came late to the hospital after the ectopic pregnancy has ruptured. But fortunately there has not been even a single mortality. Laparotomy followed by salpingectomy was main treatment modality which was used in the present study due to late presentation of patients and non-availability of laparoscopy in our set up due to theoretical risk of aerolization of the virus. |
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