Rashetha, M (2022) A Clinical Study of Presentation and Management of Ectopic Pregnancy and Its Outcome. Masters thesis, Government Mohan Kumaramangalam Medical College, Salem.
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Abstract
BACKGROUND: Ectopic pregnancy is a medical emergency, where it is imperative to diagnose the patient in early state before it goes for rupture. This timely intervention will prevent morbidity and mortality. AIMS AND OBJECTIVES: 1. To know the age group, parity and risk factors of ectopic pregnancy. 2. To observe and analyse the various clinical presentations in ectopic pregnancy and its management and determine their outcomes. 3. To explore the surgical management of ectopic pregnancy by different ways in a tertiary care hospital and analyse their outcomes. MATERIALS AND METHODS: STUDY AREA: This study was conducted at Government Mohan Kumaramangalam Medical college hospital, (GMKMCH) – Salem, is a tertiary care centre and a teaching hospital. It is a main referral centre for 8 districts and all primary health centres in Hosur, Krishnagiri, Dharmapuri, Nammakal, Erode, Kallakurichi, Villupuram. STUDY DESIGN: This study was a cross sectional study. SAMPLE SIZE: This study consists of ‘n’ no of ectopic pregnancy cases attended Government Mohan Kumaramangalam Medical college hospital GMKMCH – Salem for a particular period of time. DURATION OF STUDY: From January 2020 to December 2021 for a period of 2 years INCLUSION CRITERIA: All women with suspected clinical diagnosis and evidently diagnosed as ectopic pregnancy, between the reproductive age group of 15 -45yrs of age. EXCLUSION CRITERIA: No specific exclusion criteria. RESULTS: 85.7 % belonged to 21 – 30 years of age. Only 21% were primigravida. 12.9 % had irregular cycles. 1 patient had negative urine pregnancy test and 3 patients had weekly positive urine pregnancy test. 41.2% patients presented with > 5–8 weeks gestation. 37.6% patients presented with 8–11 weeks gestation. Only 18% patients were not anaemic. 28% of study population had tachycardia. 14.1% patients presented in hypotension. 5% of population had hemoperitoneum > 1000ml. pallor was present in 72.9 % patients. 22.4% were sterilised. Risk factors, presenting symptoms were analysed. Types of ectopic, site of ectopic and side of ectopic and management was studied. CONCLUSION: With an increase in incidence of ectopic pregnancy, the decrease in maternal mortality is with the help of early diagnostic tools. Most of the patients were managed surgically as most of them were late referral. Clinicians should highly suspicious in all reproductive women irrespective of the presence or absence of amenorrhea and sterilisation status.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 221816708 |
| Uncontrolled Keywords: | Ectopic pregnancy, Salphingectomy, Hemoperitoneum. |
| Subjects: | MEDICAL > Obstetrics and Gynaecology > MEDICAL > Obstetrics and Gynaecology |
| Depositing User: | Subramani R |
| Date Deposited: | 17 May 2021 16:55 |
| Last Modified: | 10 Dec 2023 06:37 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/16960 |
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