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. 2021 Feb;10(2):724-729.
doi: 10.4103/jfmpc.jfmpc_1279_20. Epub 2021 Feb 27.

Study of Risk factors and treatment modalities of ectopic pregnancy

Shruthi Andola  1 , Ramesh Kumar R  2 , Ratnamala M Desai  2 , Krutika S A  3
Affiliations

Study of Risk factors and treatment modalities of ectopic pregnancy

Shruthi Andola et al. J Family Med Prim Care. 2021 Feb.

Abstract

Introduction: In the past two decades globally, the incidence of ectopic pregnancy has been increasing exponentially. One of the major triggering factors being the introduction of medical assisted procreation techniques. The present study emphasis more on clinical presentations, risk factors, associated maternal morbidity and mortality with respect to ectopic pregnancy.

Methodology: Patients diagnosed with ectopic pregnancy in reproductive age group (15-44 years) after clinical examination and investigations during one year period were included in the study. It was a prospective study using contingency table analysis and Chi-square test.

Results: A total of 42 patients were diagnosed and treated as ectopic pregnancy during the study period. Risk factors were found in 37 patients, of which most common were white discharge per vagina (WDPV) in 20 and tubectomy in 6 patients. PID was seen in 5 and no risk factors in 5 patients. Of the 42 patients, 37 underwent surgery as primary modality of treatment and 5 patients underwent medical management. Only 2 patients had complete resolution with medical management while 3 failed medical management. Post operative period was uneventful.

Conclusion: As the incidence of ectopic pregnancy has been on the rise, screening of high risk cases, early diagnosis and early intervention are required to enhance maternal survival and conservation of reproductive capacity.

Keywords: Ectopic pregnancy; salpingectomy; tubal pregnancy.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Graph 1
Graph 1
Risk Factors in Ectopic Pregnancy
Figure 1
Figure 1
Right sided tubal ectopic pregnancy with ovariotomy
Figure 2
Figure 2
Fallopian tube showing chorionic villi anD trophoblastic epithelium amidst fresh hemorrhages. (H&E)
See this image and copyright information in PMC

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