July 2019 · Volume 8 · Issue 7 Page 2816 International Journal of Reproduction, Contraception, Obstetrics and Gynecology Choudhary S et al. Int J Reprod Contracept Obstet Gynecol. 2019 Jul;8(7):2816-2819 www.ijrcog.org pISSN 2320-1770 | eISSN 2320-1789 Original Research Article Clinical study of ectopic pregnancy at tertiary care center in Haryana, India Sushila Chaudhary*, Meenakshi B. Chauhan, Anjali Gupta, Monika Dalal INTRODUCTION In an ectopic pregnancy, the fertilized ovum is implanted and developed outside the normal endometrial cavity. This is a life threatening condition in the first trimester of pregnancy and one of the commonest cause of maternal mortality in first trimester. 1 In 97% cases, the fallopian tube is the site of implantation, other sites are ovarian, abdominal (primary and secondary), cervical, angular cornual and caesarean scar pregnancy. Various risk factors are associated with ectopic pregnancy like the history of pelvic inflammatory disease (PID), tubal ligation, contraceptive failure, infertility, intra uterine device (IUD) use, previous induced abortions, previous ectopic pregnancy, use of assisted reproductive techniques, smoking and multiple sexual partners. 2 Diagnosis of ectopic pregnancy is done by history of amenorrhea, pain abdomen and bleeding per vagina (classic triad), fainting attack history and clinical examination showing cervical motion tenderness, adnexial mass, fullness in the Pouch of Douglas (POD) and investigations, which are serum β-HCG levels, high resolution ultrasonography and in doubtful cases by laparoscopy. Serial serum β-HCG levels are important in the diagnosis of ectopic pregnancy. 3 The incidence of ectopic pregnancy are increasing nowadays due to better diagnostic facilities and increased awareness. Aim of this study is to determine the incidence of ectopic pregnancy and to identify the risk factors and management of ectopic pregnancy at a tertiary care hospital. ABSTRACT Background: Ectopic pregnancy is a life threatening condition in the first trimester of pregnancy. Diagnosis can be done by clinical examination, serum β-HCG and ultrasonography. This retrospective study was done to know the incidence, risk factors, and management of ectopic pregnancy. Methods: It was a retrospective study conducted on 75 patients of ectopic pregnancy admitted at tertiary care hospital in Haryana from February-2017 to January-2019. Data collected from record room and analysis done. Results: Total deliveries were conducted were 5064. The incidence of ectopic pregnancy was 1.48%, majority of the women were in the age group of 21-30 (68%), multi-parous (77.32%). The most common risk factor was abortion 33.33%, f/b tubal ligation was 13.13%, medical management of ectopic pregnancy done in 30.66%, 8% were managed by laproscopically and 58.66% by laparotomy. Conclusions: Safe sexual practices can reduce pelvic infections and ectopic pregnancy incidences. Early diagnosis before tubal rupture can reduce morbidity and mortality in ectopic pregnancy. Keywords: Amenorrhoea, Ectopic pregnancy, Laproscopy, Medical management, Risk factors, Salpingectomy Department of Obstetrics and Gynecology, PGIMS, Rohtak, Haryana, India Received: 08 May 2019 Accepted: 11 June 2019 *Correspondence: Dr. Sushila Chaudhary, E-mail: sushilachaudhary68@gmail.com Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20193048