The effect of early diagnostic of ectopic pregnancy on the morbidity

Abstract

Introduction: ectopic pregnancy represents the implantation of a fertilized ovum outside the endometrial cavity, it occurs in approximately 1.5 to 2.0% of pregnancies, and is potentially life threatening and account for 6% of all maternal deaths. This study has two major purposes: (1) to invistigate the morbidity of woman who have suffered from ectopic pregnancy and (2) to demonstrate the utility of quantitative blood test of human chorionic gonadotropin in early management of ectopic pregnancy. Materials and methods: A total of 161 women diagnosed with ectopic pregnancy were followed in a retrospective case-control study. The study took 1 year from 1st January 2014 till 31st December 2014. All patients were recruited as they came in, no specific sampling technique was used. Those with final diagnose of ectopic pregnancy within the period of the study were enrolled. Discussion results: The most common clinical presentation in this study were lower abdominal pain 161 (100%) and amenorrhea 133 (82,61%), vaginal bleeding presented by 109 (67.7%). From 161 patients: 24 were diagnosed based on clinical examination + USG (absence of uterine pregnancy) + blood test of HCG (with a human chorionic gonadotropin over 1500 discrimination zone or double testin 48 hours). From this 24 patients 7 used methotrexate, and 17 used laparoscopy, in 7 (41,18%) of them was identified hemoperitoneum and 5 (29,41%) had rupture vs 73 (59,35%) hemoperitoneum and 55 (44,72%) had rupture in the group of patients that used just USG.