Ectopic pregnancy in Lamplaimat hospital
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Abstract
Background: Ectopic pregnancy is the leading cause of maternal death during the first trimester of pregnancy. Trend of the incidence is increasing. Clinical presentation of ectopic pregnancy is highly variable, ranging from asymptomatic state to abdominal pain, in which frequently results in missed or delayed diagnosis.
Objective: To study the incidence, risk factors, clinical presentation, treatment, morbidity and mortality associated with ectopic pregnancy.
Setting: Lamplaimat hospital, Buriram province
Study design: Retrospective descriptive study
Methods: Data from in-patient medical records of all ectopic pregnancy patients received surgical treatment at Lamplaimat hospital during October 1st, 2010 and September 30th, 2015 were reviewed. The obtained data were analyzed and presented by frequency and percentage.
Results:A total of 41 cases of ectopic pregnancy underwent surgery and incidence of ectopic pregnancy was 6.4/1000 deliveries. The majority of patients (48.8%) were 25-34 years old. Risk factors were previous history of abortion (24.4%), previous ectopic
pregnancy (9.8%), tubal sterilization (4.9%), tubal reversal (4.9%), receiving contraceptive pills (12.2%) and Depot Medroxyprogesterone Acetate (DMPA) (2.4%). The commonest symptoms were abdominal pain (92.7%), amenorrhea (75.6%) and vaginal bleeding (65.9%). The commonest signs were abdominal tenderness (87.8%), adnexal tenderness (61.0%) and cervical motion tenderness (61.0%). The most common site was ampulla part (68.3%). Ruptured ectopic pregnancy was presented in 18 cases (43.9%). The most common surgery was salpingectomy (92.7%). Morbidity included hypovolemic shock and blood transfusion were 12.2% and 31.7% respectively. There was no maternal mortality in this study.
Conclusion: Early diagnosis will reduces the morbidity and mortality fromectopic pregnancy. According to misdiagnosis is frequent, ectopic pregnancy in reproductive women presenting abdominal pain without vaginal bleeding or amenorrhea should be primarily considered.
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References
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