Comprehensive management of ectopic pregnancy at a tertiary care hospital

Background: The study was conducted to determine incidence, common type, risk factors, clinical presentation and to formulate standard management protocol of ectopic pregnancy in our hospital. Methods: This study was a prospective observational study conducted at the department of obstetrics and gynecology, SVBP Hospital, LLRM Medical College, Meerut. Results: In our study, 52 patients were diagnosed with ectopic pregnancy making incidence of 1.06%. Majority 50% of cases were within the 25-30 years and were multiparous gravida 4 (25%). The leading risk factor was history of previous abdomino-pelvic surgery (11.54%). Majority of cases had tubal ectopic pregnancy (80.8%) and there were 4 cases of caesarean scar ectopic followed by 1 case of heterotopic pregnancy. In our study 100% of cases presented with amenorrhoea, lower abdominal pain in 80.7% cases and bleeding per vagina in 17.31% cases. Majority of patients (81.82%) were managed surgically. 39 cases had unilateral salpingectomy out of which 11 had contralateral tubal ligation done. Salpingotomy was done in 1 case. 4 cases had surgical removal of caesarean scar ectopic. 18.18% cases received medical management. Conclusions: Early diagnosis, better health care facilities, management and blood availability help in reducing mortality rates.