Ectopic pregnancy in Nepalgunj Medical College

Abstract

Background: Ectopic pregnancy is one of the major health problems. There is paucity of data regarding ectopic pregnancy from Nepal. This retrospective review was done to evaluate the incidence, commonest risk factors, site and the spectral types of ectopic pregnancy in western Nepal. Methods: This was a retrospective review of all the case of ectopic pregnancy during the period of two years. The data was collected using a format. Total number of deliveries during that period was also recorded. Finally data was analyzed using SPSS (Version 17). Results: The incidence of ectopic pregnancy was 1 in 87 deliveries. A total number of 21 cases of ectopic pregnancy were seen and managed during the study period. Mean age of the patient was 30.29 years ± 6.084 years. Pelvic inflammatory disease was the most common risk factor. Most of the patients had not used contraceptive methods. Type 3 spectral type of ectopic pregnancy was the most common type. All of our cases had tubal pregnancy. Maximum patients had ampullary implantation. Nineteen patients had ruptured ectopic pregnancy. Conclusions: Ectopic pregnancy is common in western Nepal with the incidence of 1 in 87 deliveries. Pelvic infection is the most common risk factor.