Abstract

Ectopic pregnancy and its consequences are the most severe form of obstetric emergency during first trimester of pregnancy. It is a kind of life threatening emergency leading to significant maternal morbidity and even mortality. Methods: A prospective study was conducted at a tertiary care centre GGH Kadapa from 01 Jan 2022 to 31 Dec 2022. All cases of ectopic pregnancy which were admitted and managed during this study period were included in the study. All Collected data were analysed with epitable 6.04 version and SPSS version 20 Software. Results: During the study period total 34 cases of ectopic pregnancy were studied. Classical symptoms of amenorrhoea, pain abdomen and bleeding per vaginum were observed in 7 cases (20.5 %) whereas 25 cases (73.5%) were associated with pain abdomen only and 7 cases (20.5%) had the symptoms of bleeding per vaginum only. All cases were managed surgically. The incidence of ectopic pregnancy was one in 200 delivered pregnancy. Most were multiparas and common in 25-35 yr age group (73.5%). Tubal ectopic pregnancy was common in right side 22 cases (61%). Approximately 18 cases (52%) presented with haemoperitoneum and (56%) 17 cases required more than 2 pint blood transfusion. Conclusions: Ectopic pregnancy mostly presents as an obstetrics emergency in our hospital especially with rupture ectopic pregnancy with haemoperitoneum. Early diagnosis and intervention suited best for the situation is mainstay for favourable and successful outcome.

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