Ectopic pregnancy: a three year study

ABSTRACT

A study on ectopic pregnancy was carried out in Unit-I of Department of Obstetrics and Gynaecology at Sir Ganga Ram Hospital, Lahore. Duration of study was from November 1991 to October 1994. During this period there were74 cases of ectopic pregnancy, while 15,617 pregnant patients were admitted. Thus its incidence was 4.73 per 1000 pregnancies. A total of 13,570 women were delivered during the study period giving the incidence of 5.45 per 1000 births. Age of the patients varied from 17-42 years while mean age was 2722 years. Mean parity was 3.20 while it ranged from 0-10. Most of the cases came with abdominal pain, amenorness. Classical picture of acute actopic pergnancy was found in 23 [31.08%] cases. Important etiological factors were history of induced abortion, pelvic inflammatory disease [PID], and use of intra uterine contraceptive device [IUCD]. Diagnosis was made by clinical features, ultrasonography, culdocentesis and laparoscopy. Laparotomy was done in all the cases. Salpingectomy was carried out in 54 [72.97%] cases. Few patients developed immediate and remote complications. There was one maternal death