Revathi, K (2021) A Study on Ectopic Pregnancy in Tertiary Care Hospital. Masters thesis, K.A.P. Viswanatham Government Medical College, Tiruchirapalli.
Full text not available from this repository.Abstract
INTRODUCTION: Ectopic pregnancy is the most life threatening emergency in pregnancy leading to maternal death. The word ectopic pregnancy is originated from Greek : "EX" and "TOPOS" that means “out of place”. It is defined as any intra and extra uterine gestation in which the fertilized ovum implants at an aberrant site which is inconducive for growth and development. AIM OF THE STUDY: The Purpose of this study is to do a detailed analysis of the following aspects of ectopic pregnancy over a particular time period in a tertiary care center to determine the clinical features, risk factors, incidence, morbidity and mortality of ectopic pregnancy. OBJECTIVES: 1. To study the clinical presentation of ectopic pregnancy. 2. To study the risk factors causing ectopic pregnancies. 3. To know about the distribution among age group, parity and sterilisation status. 4. To study about the sensitivity and specificity of clinical features such as abdominal pain ,bleeding per vaginum and amenorrhea in diagnosing ectopic pregnancy. 5. To analyse the positive and the negative predictive values of the clinical features. 6. To study the sensitivity and the specificity of cervical motion tenderness test among the suspects. 7. To know about the sensitivity and specificity of urine pregnancy test, culdocentesis and the ultrasound features among the suspects. 8. To study the significance of Beta hCG as a deciding factor in surgical and medical management. MATERIALS AND METHODS: Prospective Observational study: This is a prospective study done from January 2019 – December 2019 conducted in a tertiary care centre KAPV Government Medical College, Trichy. Study Protocol: Detailed present and previous obstetrics history was obtained from the patients presenting with ectopic pregnancy in all age groups. Vitals pulse rate and blood pressure were monitored. Per speculum per abdomen and per vaginal examination were done. Usg abdomen and pelvis were done to determine the site of pregnancy. Intra operative findings were noted ,Specimen was sent for histopathological examination. Sample Size: This study was done on 50 patients. Study Design : Prospective observational study. Study Place: K.A.P.V. Government Medical College, Trichy. Period of study: January 2019-December 2019. Statistical analysis: PLAN SPSS SOFTWARE. INCLUSION CRITERIA: All patients diagnosed with ectopic pregnancy by clinical examination, ultrasound examination and beta HCG estimation were included in the study in all age group. EXCLUSION CRITERIA: All intrauterine pregnancy. Incomplete /threatened abortion. CONCLUSION: Ectopic pregnancy, presents in a varied manner, strong suspicion and sound clinical knowledge is required for diagnosis. UPT and ultrasound should be advised to all women in reproductive age group presenting with abdominal pain and bleeding PV with or without amenorrhoea. Sterilisation failure is reported in cases of ectopic pregnancy, women of reproductive age group is advised to report in case of missed periods. Ultrasound is the gold standard diagnostic tool in ectopic pregnancy. UPT and USG equipment should be available in all primary health care and gynaecological units. Early diagnosis is the key factor in reducing morbidity and preserving the future fertility. Early diagnosis is must for medical management of ectopic pregnancy.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 221816505 |
| Uncontrolled Keywords: | Ectopic Pregnancy, Tertiary Care Hospital. |
| Subjects: | MEDICAL > Obstetrics and Gynaecology |
| Depositing User: | Subramani R |
| Date Deposited: | 01 Oct 2021 15:12 |
| Last Modified: | 03 Oct 2021 14:37 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/18208 |
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