DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20204824

A retrospective study to assess incidence of ectopic pregnancies in Saveetha Medical College and Hospital

S. K. Dheepthikaa, Rajalekshmi Murugan

Abstract


Background: Ectopic pregnancy is an acute abdominal emergency causing maternal morbidity and mortality. The overall incidence of ectopic pregnancy is increasing in recent times but due to early diagnosis and management the case fatality rate has reduced. Aim of the study is to determine the incidence of ectopic pregnancies in Saveetha hospital and find out common risk factors.

Methods: A retrospective study was conducted by analysing the medical records of the patients admitted in the Department of Obstetrics and Gynaecology for 4 years from January 2015 to 2019 at Saveetha hospital, Chennai. The number of ectopic pregnancies out of the total pregnancies and the risk factors causing the ectopic pregnancies were analysed based on case sheets by simple descriptive statistics and percentage method.

Result: Incidence was 3% or 30/1000 deliveries. The common age group was between 18 to 38 years. Mean age of ectopic pregnancy was 27.42 years. Risk factors were tubal ligation surgeries- 39.3%, Intrauterine contraceptive devices (IUCD)-19.6%, Pelvic inflammatory disease (PID)-16.1%, infertility and ovulation induction-10.7%, previous ectopic pregnancy and use of Oral contraceptive pills (OCP)-5.4% and previous induced abortions-3.6%.

Conclusion: Incidence of ectopic pregnancy is still remaining on the significant numbers. It can be diagnosed early by keeping a high index of suspicion. Tubectomy and other surgeries should be done with proper care. Education regarding safe abortion, unsupervised usage of OCP and risk of ovulation induction to avoid ectopic pregnancies.


Keywords


Ectopic pregnancy, Tubal ligation, OCP

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References


Sudha VS, Delphine RT. A retrospective study on ectopic pregnancy: a two year study. Int J Reprod Contracept Obstet Gynecol. 2016;5:4365-8.

Gary CF, Leveno KJ, Bloom SL, Hauth JC, Rouse DJ, Spong CY. Williams Obstetrics. Ectopic pregnancy. 23rd edition. The Mc Grew-Hill Companies. 2010;238-54.

Mahboob U, Mazhar SB. Management of ectopic pregnancy: a two-year study. J Ayub Med Coll Abbottabad. 2006;18(4):34-7.

Ectopic pregnancy-United States, 1990-1992. Centers for disease control and prevention. JAMA. 1995;273:533.

Rajkhowa M, Glass MR, Rutherford AJ, Balen AH, Sharma V, Cuckle HS. Trends in the incidence of ectopic pregnancy in England and Wales from 1966 to 1996. BJOG. 2000;107:369-74.

Stovall TG, Ling FW, Buster JE. Outpatient chemotherapy of unruptured ectopic pregnancy. Fertil Steril. 1989;51:435-8.

Stovall TG, Ling FW, Gray LA, Carson SA, Buster JE. Methotrexate treatment of unruptured ectopic pregnancy: A report of 100 cases. Obstet Gynecol.1991;77:749-53.

Vasquez G, Winston RML, Brosens IA. Tubal mucosa and ectopic pregnancy. BJOG. 1983;90:468.

Karaer A, Avsar FA, Batioglu S. Risk factors for ectopic pregnancy: a case-control study. Aust N Z J Obstet Gynaecol. 2006;46:521-7.

Shetty S, Shetty A. A clinical study of ectopic pregnancies in a tertiary care hospital of Mangalore, India. Innov J Med Health Sci. 2014;4(1):67-72.

Shah P, Shah S, Kutty RV, Modi D. Changing epidemiology of maternal mortality in rural India: time to reset strategies for MDG-5. Trop Med Int Health. 2014;19(5):568-75.

Yadav K, Namdeo A, Bhargava M. A retrospective and prospective study of maternal mortality in a rural tertiary care hospital of Central India. Indian J Community Health. 2013;25(1):16-21.

Singh S, Mahendra G, Vijayalakshmi S, Pukale RS. Clinical study of ectopic pregnancy in a rural setup: A two year survey. Natl J Med Res. 2014;4(1):37-9.

Udigwe GO, Umeononihu OS, Mbachu II. Ectopic pregnancy: a 5 year review of cases at nnamdiazikiwe university teaching hospital (NAUTH) Nnewi. Niger Med J. 2010;51(4):160.

Khaleeque F, Siddiqui RI, Jafarey SN. Ectopic pregnancies: A three year study. J Pak Med Assoc. 2001;51(7):240-2.

Wakankar R, Kedar K. Ectopic Pregnancy-A rising Trend. Int J Sci Stud. 2015;3(5):18-22.

Rose J, Thomas A, Mhaskar A. Ectopic pregnancy: Five years experience. J Obstet Gynecol India. 2002;52:55-8.

Majhi AK, Roy N, Karmakar KS, Banerjee PK -Ectopic pregnancy: an analysis of 180 cases. J Indian Med Assoc. 2007;105(6):308-12.

Shaikh S, Jampala S, Devi S, Malika M. A study of ectopic pregnancy in a tertiary care teaching hospital. Indian J Obstet Gynecol Res. 2016;3(2):132-6.

Kharat D, Giri PG, Fonseca M. A study of epidemiology of ectopic pregnancies in a tertiary care hospital of Mumbai, India. Int J Reprod Contracept Obstet Gynecol. 2017;6:3942-6.

Savitha Devi Y. Laparoscopic treatment of ectopic pregnancy. J Obst Gyn India. 2000;50:69.