ECTOPIC PREGNANCY MANAGEMENT IN AYUB TEACHING HOSPITAL ABBOTTABAD: A TEN YEAR SURVEY
AbstractBackground: Ectopic pregnancy is a common life-threatening emergency in the developing world. It isa cause of maternal morbidity and mortality in the first trimester and these mortalities can be reduced ifit is properly managed. The objective of this study was to assess the variable clinical presentations andoutcome of treatment of ectopic pregnancy in Ayub Teaching Hospital Abbottabad. Methods: Twohundred and fifty-five patients with ectopic pregnancy managed in Ayub Teaching Hospital over periodof 10 years, were included in the study. The clinical presentation, diagnostic modalities and out come oftreatment were recorded and analysed. Results: Out of 255 patients 43 (16.86%) had un-ruptured tubalpregnancy, 183 (71.76%) had ruptured ectopic pregnancy and 22 (8.62%) had chronic ectopicpregnancy. At laparotomy, salpingectomy was done in 229 (89.80%) patients, salpingo-ophrectomy in2 patients (0.78%), linear salpingostomy in 15 (5.88%) patients. Medical treatment was given to 5patients and 8 patients were treated conservatively. There was no maternal mortality. Conclusion: Inspite of various recent advances in the management of ectopic pregnancy, conventional surgicaltreatment by laparotomy is still the most widely used modality of treatment in our institution. Withappropriate and prompt management, maternal mortality due to ectopic pregnancy can be prevented.Keywords: Ectopic pregnancy, conventional surgical management, laparotomy, salpingectomy
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