THE INCIDENCE AND MANAGEMENT OF ECTOPIC PREGNANCY
Dr. Monorama Sarkar*, Dr. Anamica Adhikary and Dr. Mst. Jesmin Sultana
Background: Ectopic pregnancy continues to be one of the most common gynecologic emergencies and is the leading cause of pregnancy-related first-trimester death in the United States. The rate of ectopic pregnancy continues to rise because of increases in the incidences of its risk factors. Objective: in this study our main goal is to investigate the incidence and management of Ectopic pregnancy. Method: This cross-sectional study was carried out at out at Kustia General Hospital, from September 2018 to October 2019. Where 62 Patients who were clinically suspected but laparotomy findings ruled out ectopic pregnancy. Results: During the study, majority 72.58% cases belong to <30 years age group and 35.48% cases had HTN followed by 19.35% had history of infertility, 80.65% cases visited ANS ≤4 times. 54.45% mild abdominal tenderness cases were seen followed by 53.22% moderate cases were anemic, 83.87% cases BP was >120/80. Apart from that, 91.93% cases had H/O P/V bleeding and 88.71% had H/O lower abdominal pain. History of tubal ligation, 19.35% followed by PID history, 29.03%, 32.25% history of ligation cases were common risk factor seen in ectopic patients. 67,75% cases right tube was affected, and all cases were undergone laparoscopy. In addition, 80% cases were managed by surgically. Conclusion: While ectopic pregnancy mortality has decreased dramatically due to improved diagnosis and care procedures, it remains a severe gynecologic emergency. Delays in diagnosis or treatment might have disastrous consequences. Clinicians should be aware of the limitations of various studies and have an open mind when it comes to ectopic pregnancy. The mother's life would be saved if vigorous resuscitation and laparotomy were performed as soon as possible. Lower abdomen discomfort, amenorrhea, and P/V bleeding were the most common symptoms. The primary risk variables were tubal ligation history, PID history, ligation history, and IUCD. In many circumstances, laparoscopy is still the conventional therapy.
Keywords: Ectopic pregnancy, fertility, P/V bleeding.
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