Study of Diagnosis and Management of Ectopic Pregnancy

ABSTRACT

The term ‘Ectopic pregnancy’ refers to the pregnancy that implants outside the uterine cavity). This work is aimed at the clinical study of diagnosis and management of 35 cases of ectopic pregnancy over a period of two and a half years. The main aims of the study are (1) to evaluate the efficacy of the various modalities of diagnosis, and (2) to determine the best treatment option depending on the severity of presentation. A combination of accurate history, meticulous physical examination, serum β-HCG levels, culdocentesis and ultrasound will aid in early diagnosis. Management of the cases depends on the severity of the presentation. Conservative approach includes medical management with methotrexate or laparoscopic salpingostomy. Laparotomy involving salpingectomy was done in ruptured ectopic pregnancy.