Dr Abdul Samad, Dr Arooj Fatima, Dr Nafisa Shahid
Introduction: Ectopic pregnancies have shown an increasing trend during the past decade. Factors that appear to be responsible are the intrauterine device (IUD), fallopian tube surgery (ligation reversals, reconstructive tuboplasty), and more effective antibiotics against pelvic inflammatory disease (precluding radical pelvic surgery). Aims and objectives: The basic aim of the study is to analyze the ectopic pregnancy cases among local population of Pakistan. Material and methods: This cross sectional study was conducted at District Headquarter Teaching Hospital, Gujranwala During June 2018 till November 2018. There were 50 patients who were registered as a EP in this time period. These patients were admitted through emergency or outpatient department. After history and examination, provisional diagnosis was made. Relevant investigations included complete blood picture, blood group and ultrasound. Results: In this present study there was 50 registered cases of EP in the hospital. Majority of the women were aged 21-30 years. The most common risk factors were previous abortion (36.1%) and pelvic surgery (37.5%). Among the women who underwent pelvic surgery, 15 women had undergone tubectomy and two women had a tubal recanalization. The frequency of ectopic pregnancy was 1 .3%. Multiparous women were found to be more prone to have ectopic pregnancy (6 1%). The gestational age ranged between 4-11 weeks and the most frequent gestational age was around 6 weeks. Conclusion: It is concluded that to reduce morbidity due to EP there is need of early diagnosis. This can be done by screening of high risk patients giving an early diagnosis and intervention before tubal integrity is lost.