Diagnostic Clues and Management of ectopic Pregnancy in Sir Salimullah Medical College and Mitford Hospital, Dhaka

Abstract

Background: Ectopic pregnancy is a common clinical condition. Diagnosis and management of this condition is necessary in due to day practice. Methods: A cross sectional study on ectopic pregnancy was conducted in Sir Salimullah Medical College and Mitford Hospital (SSMC & MH) , Dhaka, with the objective to analyze the risk factors and assess the results of management with respect to maternal morbidity and mortality of ectopic pregnancy during the last two years. Result: Fifty patients were admitted with ectopic pregnancy from 1st January 2008 to 31st December 2010.Frequency of ectopic pregnancy were 1.5% of total 3252 pregnancies. Risk factors were found in 45% of cases. Surgical treatment were performed in total 43 patients. There was one heterotrophic pregnancy and one case of abdominal pregnancy. Four patients were given intramuscular Methotrexate and two un-ruptured ectopics resolved spontaneously after by expectant management. Conclusion: Conservative management was an option but surgical treatment was done more often because of late referrals. Screening of high risk cases, early diagnosis and early intervention would reduce the morbidity in ectopic pregnancies. Address of Correspondence: Dr. Nazia Islam, Specialist , Dept. of Mother and Child Care, BRB Hospitals Ltd, East Razabazar (Former Gastro Liver Hospital), Panthopath, Dhaka-1215 email-naziaislam1978@gmail.com, Mobile-01715437494. appendisectomy etc were looked for and recorded. For confirmation of the diagnosis serum 2 hCG, Transvaginal sonography (TVS) was done and culdocentesis was performed in necessary cases. Plan of management of patient with ectopic pregnancy was decided according to the condition of patient. Emergency operation were planned and performed accordingly.