THE CONFUSING PRESENTATIONS AND FACES OF ECTOPIC PREGNANCY IN CONCORDANCE WITH DIAGNOSTIC MODALITIES IN A TERTIARY CARE HOSPITAL IN NORTH EASTERN SECTOR OF INDIA - A STUDY OF 2 YEARS PERIOD

Authors : Dr Ragini Thapa, Sinam Tombi Meetei, Talitha Talitha

Pages : 20-24

View : 25 | Download : 12

Publication Date : 2019-12-31

Article Type : Research

Abstract :Background: The study was taken up to know the about the various diagnostic criteria used for ectopic pregnancy. Methods: This  study included seventy patients diagnosed as ectopic pregnancy. Clinical signs, symptoms and physical findings were recorded. Urine pregnancy test, serum β hCG and abdominal ultrasound were the main diagnostic modalities. Findings at laparoscopy and laparotomy were analysed. Results: Majority of the women presented with abdominal pain (90%) and amenorrhea (97.14%).Majority(82.84%) had amenorrhea ranging from 4 weeks or less to 8 weeks.  Cervical excitation was positive in 64.28% and adenexal mass was palpable in 15.7%. Urine pregnancy test and serum β  hCG  were positive in 82.8% and 95.2%. , respectively. Findings suggestive of ectopic were found in 81.42% on transabdominal ultrasound exam. Twenty-five patients (35.6%) underwent diagnostic laparoscopy while 98.5% underwent laparotomy. Conclusion: Availability of sensitive and specific radio-immunoassays of β-human chorionic gonadotrophin (β-hCG) and high resolution transvaginal ultrasound (TVS) allows early detection of ectopic pregnancies  Key Words: Ectopic pregnancy , Serum  β- hCG,Laporoscopy 
Keywords : Ectopic pregnancy, Serum β- hCG