Open AccessINCIDENCE, TRENDS AND RISK FACTORS FOR ECTOPIC PREGNANCY IN CASES REFERRED TO NALANDA MEDICAL COLLEGE AND HOSPITAL PATNA
Author(s) -
Kalpana Prasad,
Mamta Singh,
Richa Kumari
Publication year - 2020
Publication title -
global journal for research analysis
Language(s) - English
DOI - 10.36106/gjra/4305198
Subject(s) - ectopic pregnancy , medicine , incidence (geometry) , salpingectomy , obstetrics , laparotomy , pelvic inflammatory disease , medical record , pregnancy , retrospective cohort study , exploratory laparotomy , gynecology , surgery , genetics , physics , optics , biology
Ectopic pregnancy occurs at a rate of about 1-2% of pregnancies and can occur in any sexually active woman of reproductive age. The incidence has been increasing for years and currently it is two to three times higher than it was 20 or 25 years ago.Objective: To assess the incidence and trends of ectopic pregnancy in a tertiary care hospital of Bihar and to evaluate the relevance of the risk factors associated with it.Methods: A retrospective study was designed to assess frequency of ectopic pregnancy and to evaluate the relevance of the known risk factors during 2018 -2019 in Nalanda Medical College and Hospital. All the data were collected from the case record of patients and charted in an excel sheet. Simple frequencies and percentages were obtained for various variables.Result: The incidence of ectopic pregnancy was 12.5 per thousand of deliveries. Maximum (72.5%) cases were in the age group of 21 to 30 years and most of cases (40%) were nulliparous. About half (47.5%) of cases were suffering from pelvic inflammatory disease. The commonest site of ectopic pregnancy was in the ampullo-isthmic region (82.5%). All patients underwent exploratory laparotomy. Majority (45%) underwent total salpingectomy while fallopian tubes were conserved in a few (7.5%) of cases. No mortality was encountered in this series.Conclusion: By identifying the risk factors and diagnosing the patient by ultrasonographic examination at the earliest at 6 weeks, it is possible to improve the prognosis to reduce the morbidity and mortality associated with ectopic pregnancy.