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Volume 13 Issue 1 (January) 2024

Original Articles

Assessment of clinical profile and outcome of ectopic pregnancy in tertiary care hospital
Pratibha Kumari,Satya Kumari,Sangeeta Pankaj

Background:An ectopic pregnancy occurs when a fertilized egg implants and grows outside the main cavity of the uterus. The present study was conducted to assess clinical profile and outcome of ectopic pregnancy.Materials & Methods:58 women with ectopic pregnancy were studied. Parameters such as site of tubal ectopic pregnancy, symptoms, signs, Beta-HCG levels, findings on transabdominal/transvaginal sonography and pregnancy outcome was recorded.Results: Site of tubal ectopic pregnancy was ampulla in 30, isthmus in 18, fimbria in 6 and isthmo- ampullar in 4 cases. Beta-HCG levels was <1500mIU/ml in 28, 1500-3000mIU/ml in 18 and 3000-5000mIU/ml in 12 patients. Parity was Nullipara in 8, Primipara in 23 and Multipara in 27 cases. Symptoms were spotting in 21, shock in 27, amenorrhea in 35, and abdominal pain in 17. Signs were palpable adnexal mass in 32 cases, cervical motion tenderness in 25, pallor in 30, and abdomen tenderness in 23 cases. The difference was significant (P< 0.05). Outcome was chronic ectopic in 9, tubal abortion in 4, unruptured ectopic in 16 and ruptured ectopic in 29 cases. The difference was significant (P< 0.05).Conclusion: The most common site of ectopic pregnancy was ampulla and isthmus.

 
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