RUPTURE ECTOPIC PREGNANCY-A PROSPECTIVE STUDY AT FARIDPUR MEDICAL COLLEGE HOSPITAL

Dr. Binoy Krishna Golder*, Dr. Most. Zakia Sultana, Dr. Mahbubur Rahman and Dr. Begum Shamsun Nahar Shirin

ABSTRACT

Introduction: Ectopic pregnancy is a significant cause of maternal morbidity and mortality as well as fetal loss and a leading cause of pregnancy related death. In first trimester. ultrasonography and other test rarely done in developing countries like Bangladesh. Method: It is a prospective study of 60 cases of rupture ectopic pregnancy designed to find-out the prevalence, analyze clinical presentation and per-operative findings of laparotomy, usually pfannenstiel (transverse) incision given, and repaired intradermally without retaining abdominal drain tube, done in Obstetrics and Gynaecology department, Faridpur Medical College Hospital, Faridpur Bangladesh from September 2003 to August 2005. Result: 68 cases of ectopic pregnancy patients was found during the study period, 60 cases was rupture ectopic and 8 cases was chronic and silent ectopic among the total gynaecologic patients of 1213. All the patients were treated by laparotomy most of the patents were pre-pregnant anaemic and was in critical condition due to poverty and lack of knowledge. There was no death after operation or after admission in gynae. ward. Peak age of ectopic pregnancy was 21-25 years (35%) and low parity was most cases (36.67%). Symptoms of presentation was abdominal pain, amenorrhoea, shock and syncopal attack. Duration of amenorrhoea was 6-8 weeks 65% cases, history of PID was 40% patients, right tubal affection was 65% cases. Conclusion: It reveals different parameters of ectopic pregnancy of Bangladesh, much of morbidity can be prevented by better obstetrics and family planning care.

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