Nudrat Sohail, Muhammad Tayyab, Farhat Iqbal, Maria Butt, Asghar Naqi.
Tubal ectopic pregnancy, management in a tertiary care hospital.
Pak J Med Health Sci Jan ;4(4):472-5.

Objectives: The study was conducted to analyze the management of diagnosed cases of ectopic pregnancy. Study design: A Descriptive study. Setting: Gynae Unit III, Jinnah Hospital Lahore from August 2009 to August 2010. Method: All the patients diagnosed with ectopic pregnancy presenting in the outpatient or emergency department gynae unit III, during the study period were included. Results: There were 59 tubal pregnancies diagnosed during the study period. Out of the 59 patients, 56 patients presented with acute symptoms, 3 patients were asymptomatic, 50 patients had amenorrhea, 4 patients presented with hypovolemic shock and 4 patients had adnexal mass. 3 patients were managed conservatively with methotrexate and 57 patients underwent laparotomy. Out of 57 patients undergoing laparotomy, 51 had ruptured tubal pregnancy, 4 had unruptured tubal pregnancy and 2 had tubal abortion. No identifiable cause for ectopic pregnancy was found in 49 patients whereas 4 patients had previous surgeries, 4 had pelvic inflammatory disease and 2 had IUCD inserted. All patients were discharged without significant morbidity. Conclusion: Tubal ectopic pregnancy remains a gynecological emergency in tertiary care hospital due to referral and lack of antenatal booking. Most of the time no identifiable cause for ectopic pregnancy is found. Late or delayed presentation leads to surgical management.

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