ECTOPIC PREGNANCY : A MAJOR CAUSE OF MATERNAL MORTALITY?

Authors

  • Rajshree Jha Triubhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.
  • M Singh Triubhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.
  • A Rana Triubhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.
  • A Singh Triubhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.
  • S Bastola Triubhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.

DOI:

https://doi.org/10.31729/jnma.823

Abstract

ABSTRACT
Seventyeight cases of ectopic pregnancy were studied retrospectively at Tribhuvan University Teaching
Hospital during April 1993 - December 1996. The overall incidence of etopic pregnancy was 0.86% live
births. Grandmultipara were found to be at a low risk for ectopic pregnancy. A history of infertility and
previous pelvic surgery were positive risk factors. The most common presenting symptoms were abdominal
pain (90%), history of amenorrhoea (46%), abnormal uterine bleeding (40%). On examination adenexal
tenderness (72%), abdominal tenderness (68%), pallor (53%) and cervical excitation (33%) were the most
frequent findings. Adenexal mass was noted in 22% cases and in 35 % cases the size of the uterus could not
be assessed. Ultrasonography and transvaginal sonography proved to be valuable diagnostic aids. Two
maternal deaths (2.6 %) due to ectopic pregnancy occurred in the hospital during this period.

Key Words: Ectopic pregnancy, risk factors, sonography.

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Published

2003-05-01

How to Cite

Jha, R., Singh, M., Rana, A., Singh, A., & Bastola, S. (2003). ECTOPIC PREGNANCY : A MAJOR CAUSE OF MATERNAL MORTALITY?. Journal of Nepal Medical Association, 42(147), 151–155. https://doi.org/10.31729/jnma.823

Issue

Vol. 42 No. 147 (2003)

Section

Original Article

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