[Correlation between vital signs and hemoperitoneum in ruptured ectopic pregnancy]

ABSTRACT

Ectopic pregnancy [EP] is a medical-surgical emergency. Rupture of an ectopic pregnancy is a serious complication and may develop severe life-threatening to the patient. To determine correlation between vital signs and hemoperitoneum in ruptured ectopic pregnancy and the association between abnormal vital signs and tubal rupture. Via a retrospective study we have considered a sample of 32 patients of ruptured ectopic pregnancy. All patients were diagnosed at the Gynecology and Obstetrics Unit A at Charles Nicole Hospital, Tunisia. Mean minimum systolic [SBP] 109 mmHg [range 70-150], mean maximum [HR] 81.5 beats/min [range 70-140]. Mean volume of hemoperitoneum 693.75 mL [range 100 -2000 mL].Correlation between vital signs and volume of hemoperitoneum was poor [R 2 = 0.279 for HR, R 2= 0.267 for SBP]. Hypotension was associated with blood loss of at least 1280 ml. Association of tachycardia with hypotension was observed in only 2 cases. Correlation between HR and SBP was not significant and poor [p=0.23, R 2= 0.05] Normal vital signs alone are poor predictors of ruptured ectopic pregnancy and do not correlate well with volumes of hemoperitonieum