review of ectopic pregnancy in DHQ hospital Faisalabad

ABSTRACT

Ectopic pregnancy is a life threatening condition which poses a difficult diagnostic challenge because of varying modes of presentation. I. To evaluate various aspects of patients admitted with signs and symptoms suggestive of ectopic pregnancy. II. To highlight the fact that our patients still attend late resulting in high morbidity. III. To arrive at an early diagnosis in the patients who seek early consultation. DESIGN: Case study SETTING: Gynaecologic unit of DHQ Hospital Faisalabad between September 1993 and January 1995. SUBJECTS: Thirty seven patients with suspected ectopic pregnancy. Seventeen patients were diagnosed as ectopic pregnancy, giving an incidence of 1 in 250. Total number of deliveries during this period was 4161. MANAGEMENT AND The predisposing factors, signs and symptoms and various diagnostic tests were evaluated. All patients underwent laparotomy but conservative surgical procedure in the form of linear Salpingostomy was only possible in one case. CONCLUSIONS: Early diagnosis requires careful clinical evaluation and use of multiple modalities and it is essential for proper management