An evaluation of management modalities and outcomes of ectopic pregnancy

New Indian Journal of OBGYN

article

Chandana C¹  BC Monica¹  Madhva Prasad S¹  Pramila Pandey¹ 

[1] Department of Obstetrics and Gynecology, Vydehi Institute of Medical Sciences and Research Centre

关键词: Ectopic pregnancy;    beta-hCG;    conservative management;    methotrexate;    first trimester.;   

DOI  :  10.21276/obgyn.2021.7.2.17

学科分类：社会科学、人文和艺术（综合）

来源: Barpeta Obstetrics and Gynaecological Society

【 摘 要 】

Objectives: To describe the role of early diagnosis, outcomes of medical and surgical management of ectopicpregnancy. Methods: A prospective observational study was conducted for one and half years, on women with anectopic pregnancy. Demographic, medical, gynecological and obstetric details were noted. Standard criteria werefollowed for conservative management and the others underwent surgery. Outcomes studied included status of ruptureof the tube, presence or absence of shock, need for blood transfusion, operative procedure performed, post-operativemorbidity, time for resolution of beta-hCG and success of medical management. Appropriate statistical analysis wasperformed using percentages and chi-square tests. Results: 40 patients were studied in the time period with anaverage of 27.6 years. There were more multigravidae (78%) in the study, and majority of the patients (80%) hadatleast one risk factor. Larger proportion of patients presented with ruptured ectopic status (55%), and they belongedto a more advanced gestational age. Though medical management was offered in 40% of the patients initially, 15%required conversion to surgical management. Conclusions: Ectopic pregnancy continues to be a problem withsignificant morbidity. Multigravidae of younger presenting at a later gestational age appear to have a highermagnitude of the problem.

【 授权许可】

CC BY-NC-SA