Ectopic Pregnancy Associated Risk Factors and Complications Latest Insight from Arif Memorial Teaching Hospital

Abstract

Background: Ectopic pregnancy continues to be a life-threatening emergency and is a leading cause of maternal mortality in first trimester of pregnancy.

Aim: To determine the local incidence, various clinical presentations, associated risk factors and outcome of ectopic pregnancy.

Methods: It was a retrospective, descriptive study which was carried out in pregnant women with diagnosis of ectopic pregnancy over a 2 years period i.e. from Jan 2020 to December 2021 in the Obs and gynae department of Arif Memorial Teaching hospital. 60 cases of ectopic pregnancy were included in this study during this time period. Data was collected from case files from the department of medical records. Results obtained were tabulated and analyzed.

Results: The peak age of patients diagnosed with ectopic was found to be 21 to 30 years and more common in multigravida. Risk factors for ectopic were seen in 49 cases (81.7%), the most common being previous LSCS (28.3%). The most common symptom was abdominal pain (85%) and there was no maternal mortality recorded.

Conclusions: Proper and thorough evaluation of patients with risk factors for ectopic pregnancy will help in diagnosis of ectopic pregnancy early which in turn will facilitate successful medical management to lessen maternal morbidity and  also preserve future fertility.