ABSTRACT

Objective: To determine the risk factors and presenting complaints of ectopic pregnancy at tertiary care Hospital.

Material and methods: This cross-sectional study was conducted at gynaecology department of Liaquat University of Medical and health Sciences. Study duration was eight months from March 2020 to September 2020. All the patients diagnosed with ectopic pregnancy, age >15 years and either of parity and gravidity were included in the study. Diagnosis of the ectopic pregnancy was clinical examination, history, urine pregnancy test, culdocentesis and ultrasonography. Stable women underwent transvaginal ultrasonography to assess the adenexal mass, localization of the gestational sec, presence of cardiac flicker, ectopic mass size and any evidence of free fluid in pouch of Douglas. After treatment patients were followed during Hospital stay. All the data was collected via self-made study proforma. Data was analyzed by using SPSS version 20.

Results: A total of 50 women with ectopic pregnancy were studied regarding risk factors and complications. Mean age of the women was 27.31+5.10 years and mean gestational age was 6.11+2.13 weeks. Bleeding and abdominal pain were found to most common complaints. A per suspected most common risk factors pelvic inflammatory disease (PID) was in 20% cases, history of the previous multiple C-sections was in 16% cases and history of conceived after infertility treatment was in 10% cases and among 28% of the cases risk were un-known.

Conclusions: Pelvic inflammatory disease (PID), history of the previous multiple C-sections and history of conceived after infertility treatment were found to be the commonest suspected risk factors. Bleeding and abdominal pain were found to be the most common complaints.

Key words: Ectopic pregnancy, bleeding, etiology