December 2017 · Volume 6 · Issue 12 Page 5241 International Journal of Reproduction, Contraception, Obstetrics and Gynecology Mehta A et al. Int J Reprod Contracept Obstet Gynecol. 2017 Dec;6(12):5241-5246 www.ijrcog.org pISSN 2320-1770 | eISSN 2320-1789 Original Research Article A retrospective study of ectopic pregnancy at a tertiary care centre Archana Mehta, Shehla Jamal*, Neerja Goel, Mayuri Ahuja INTRODUCTION Ectopic pregnancy is defined as any intra or extra-uterine pregnancy in which the fertilized ovum implants at an aberrant site which is inconducive to its growth and development. 1 It is catastrophic and life threatening condition and one of the commonest acute abdominal emergency in day to day practice affecting approximately 2% of all pregnancies. 2 It is the most important cause of maternal mortality and morbidity in the first trimester. 3 An ectopic pregnancy is assuming greater importance because of its increasing incidence and its impact on future fertility. 4,5 It is a challenge for the obstetricians due to its bizarre clinical presentation. Diagnosis requires a high index of suspicion as the classic triad of amenorrhea, abdominal pain and vaginal bleeding is not seen in all cases. Women may present with non-specific symptoms, unaware of an ongoing pregnancy or may even present with hemodynamic shock. The early diagnosis of this condition over the past two decades has allowed a definitive medical management of unruptured ectopic pregnancy with successful outcomes. 6,7 The overall incidence of ectopic pregnancy is increasing in the past three decades but due to early diagnosis and management ABSTRACT Background: Ectopic pregnancy is a global problem and is the most common life-threatening emergency in early pregnancy leading to significant morbidity and fetal loss. It occurs in variable presentations. The rate of ectopic pregnancies has increased from 0.5% in 1970 to 2% today. The aim of this study was to determine the incidence, clinical presentation, risk factors, treatment, and morbidity and mortality associated with ectopic pregnancy. Methods: The present retrospective study was conducted over a period of three years in the department of obstetrics and gynecology at SMS and R, Greater Noida, UP from Feb 2014 to Jan 2017.A total of 80 patients with ectopic pregnancy were analyzed regarding clinical presentation, risk factors, operative findings and treatment modality. Results: Total number of 80 cases of ectopic pregnancies were admitted during this period against 2645 deliveries representing frequency of 3%. Majority of cases (43.75%) were in the age group of 25-29 years and 41.25% were gravida 4 and above. Risk factors were identifiable in 66.25% of cases. Previous abortion was the most common risk factor (31.25%). The classical triad of amenorrhea, pain abdomen and vaginal bleeding was present in 71.25% of cases. More than half of case (55%) had ruptured tubal pregnancy on admission. Unruptured tubal pregnancy was seen in 10% case. Interestingly we found one rare case of bilateral ectopic pregnancy. Salpingectomy by open method was the mainstay of treatment (86.25%). Conclusions: Ectopic pregnancy is still a major challenge in gynecological practice. In our country most of the cases present late after tubal rupture requiring radical surgical treatment. Early diagnosis and timely intervention in the form of medical treatment or conservative surgery not only reduces maternal morbidity but also preserves future fertility. Keywords: Ectopic pregnancy, Haemoperitoneum, Salpingectomy Department of Obstetrics and Gynecology, School of Medical Sciences and Research, Greater Noida, Uttar Pradesh, India Received: 10 October 2017 Accepted: 04 November 2017 *Correspondence: Dr. Shehla Jamal, E-mail: essjayoms@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.ijrcog20175117