DOI: 10.36347/sjams.2023.v11i02.008

Pages: 305-309

Background: The diagnosis of ectopic pregnancy was commonly missed, and the incidence of ectopic pregnancies is increasing, therefore it is important to be aware of the risk factors and associated morbidity and mortality. The aim and objectives was to find out the incidence, clinical manifestation, risk factors, management, morbidity, and mortality rates related to ectopic pregnancy. Method & Materials: Retrospective studies on ectopic pregnancies were conducted in the Obstetrics and gynecology department, Tezpur medical college, and hospital Assam, India from April 2021 to February 2022. All diagnosed cases during study periods were analyzed after applying the inclusion and exclusion criteria with respect to the 1. History. 2. Clinical presentation. 3. Investigations. 4. Treatment. Results: Out of 7085 deliveries, 31 were ectopic pregnancies (1 in 228.5 pregnancies). Women with age 20-30yrs had the highest incidence (64.4%). Ectopic pregnancies were more common in multiparous (51.6%) than in primipara (32.25%), and innulliparas (16.12). Common symptoms: abdominal pain (89.9%), amenorrhea (87%), bleeding per vagina (77.4%), asymptomatic (6%) patients. Urine pregnancy test positive in (100%). Etiology was pelvic infection (29%), infertility (10%), contraception (22.5%), h/o D&E (22.5%). Site of ectopic Common in the fallopian tube- ampullary region (64.51%), cornua (9.67%), isthmus (9.67%), fimbria (9.67%), followed by ovarian ectopic (6.45%). About (87%) of ectopic were ruptured, and (32.25%) presented with shock at the time of presentation. Most of the cases were ruptured ectopic pregnancies, salpingectomy done in 96.77%, and salpingo-oophorectomy in 3.23%. Morbidity was anemia 100%, blood transfusion (96.77%), and no mortality. Conclusion: Early diagnosis, recognition of underlying risk factors, and prompt intervention in the form of surgical or conservativewillcontribute to a reduction in the morbidity and mortality caused by an ectopic pregnancy.