ECTOPIC PREGNANCY: A CLINICAL RETROSPECTIVE STUDY

OBJECTIVE Objective of this study is to determine the incidence, risk factors, mortality, and management of ectopic pregnancy. METHODOLOGY This is a retrospective study done in a tertiary care centre, Jorhat Medical College and Hospital, Assam between January 2014 to April 2016. Analysis of case records of all ectopic pregnancy patients was carried out during this period. RESULTS During the period, a total of 16552 deliveries were recorded of which 123 patients had ectopic gestations accounting for 7.4 per 1000 deliveries. The peak age group was 20-29 years (52.85%). Most of the patients were multiparous (83.74%). Commonest risk factors were Pelvic Inflammatory Disease (PID) (43.09%) and previous abortion (21.95%). No risk factor was found in 20.33% of the cases. 99 patients had tubal pregnancy out of which 86.87% presented with ruptured ectopic. Surgery by laparotomy in the form of unilateral total salpingectomy (67.48%), partial salpingectomy (20.33%), salpingostomy (6.50%), and milking of tube (2.44%) were the mainstay of management. Two maternal deaths were recorded during the study period. CONCLUSION Ectopic pregnancy can affect any woman in the reproductive age group with or without risk factor. It is not always possible to diagnose a case of ectopic pregnancy in early stage. It requires high index of suspicion. Early diagnosis and timely intervention (Conservative or surgical treatment) will not only help in reducing maternal morbidity and mortality, but also help to preserve the future fertility.