ECTOPIC PREGNANCY: A CLINICAL STUDY IN A TERTIARY INSTITUTE

ABSTRACT
Background: Ectopic pregnancy is a life threatening emergency, leading to major maternal morbidity and mortality. It
is the second most common cause of maternal deaths in first trimester of pregnancy.
Objective: The present study aims at determining the incidence, demography ,risk factors, clinical features and treatment
modalities of ectopic pregnancy.
Materials and Methods: This was a prospective descriptive study comprising 54 cases admitted to Obstetrics and
Gynaecology Department of Mardan Medical Complex, Mardan from 1st February 2016 to 31st January 2017. All women
of any age or parity with diagnosis of ectopic pregnancy were included and treated surgically, medically or expectantly.
Results: The incidence of ectopic pregnancy was 0.74% or 1:134 deliveries. Majority of patients (57.4%) belonged to
26-35 years age group. It was most common in multi parous patients(57.4%). Pelvic inflammatory disease was responsible
for 40% cases of ectopic pregnancy followed by history of tubal ligation(14%), history of infertility (12%) and no
identifiable risk factor in 18%. Most common presenting symptom was lower abdominal pain (92.6%), ammennorhea
(76%), cervical excitation (72%), adnexal fullness (55.5%), p/v bleeding (48%) and shock (40.7%). Majority of patients
(72%) underwent surgical treatment.
Conclusion: Timely diagnosis and referral, access to health care facility, aggressive management and good blood
bank services can reduce the maternal morbidity and mortality due to ectopic pregnancy