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Ectopic tales of kachcch: A study of ectopic pregnancies

Background and Aim: Ectopic pregnancy is assuming greater importance because of its increasing incidence and its impact on women’s fertility. Present study was done with an aim to know the prevalence in the all the patients diagnosed with ectopic pregnancy at the tertiary care centre – G.K General Hospital Bhuj and patients referred from surrounding area for the same. Material and Methods: All patients diagnosed of ectopic pregnancy at tertiary care centre- G.K. General Hospital, Bhuj, Gujarat, India over a period of three months –July, August, September 2018 were enrolled in the study. Patients history was recorded and necessary investigation were done. Results: The incidence of ectopic pregnancy in this study is 3:187.5 amounting to 1.6% prevalence of ectopic pregnancy the mean age calculated is 24.08 years of presentation with maximum age being 35 years and minimum age being 19 years. Most of the patients – 66.7% are primigravida patients, 8.3% second gravid and 25% third gravid. The aetiological risk factors in this study: 10% had conceived after ovulation inducing drugs, 30% had history of PID, 10% had history of surgery for an adnexal mass, with remaining 50% having no identifiable risk factors. Out of all cases - only two cases were brought in a state of shock with severe hypovolaemia which resulted in one maternal mortality as patient developed Acute STEMI due to coronary vasospasm, i.e 8.33% of all cases . Out of all cases 75% were ruptured ectopic pregnancy and only 25% unruptured ectopic pregnancies. Conclusion: The incidence of ectopic pregnancies is on the rise. All the cases were diagnosed with a high index of clinical suspicion and the USG findings added to the diagnosis. Though the recent trend in the management of ectopic pregnancy is the use of a conservative surgical or medical line of management, radical surgery or salpingectomy was the treatment modality which was used in the present study.