Dr Sobia Nawaz, Dr Mishqat ul Misbah, Dr Talia Ahmed
Introduction: Ectopic pregnancy is defined as a pregnancy that occurs outside of the uterine cavity. The most common site of ectopic pregnancy is the fallopian tube. Most cases of tubal ectopic pregnancy that are detected early can be treated successfully either with minimally invasive surgery or with medical management using methotrexate. Aims and objectives: The basic aim of the study is to analyze the risk factors of ectopic gestations in Pakistan. Material and methods: This cross sectional study was conducted in Bahawal Victoria Hospital, Bahawalpur during September 2019 to December 2019. The data was collected through a survey analysis in which we find the Socio demographic status of female patients. The detailed history of pregnancy were collected from hospital data. We find the risk factors of ectopic pregnancies among local population of Pakistan. To evaluate the association between ectopic pregnancy and 22 potential risk factors, we conducted a population-based case-control study. Results: The data were collected from 74 pregnant females. The patient had an emergency laparotomy with macromolecular resuscitation, blood products transfusion, and intravenous antibiotic therapy. Peroperative exploration has found haemoperitoneum of great abundance. The right fallopian tube had an ampullary hematosalpinx of 3 cm of long and the left fallopian was an isthmic ruptured of ectopic pregnancy with scraps inside. Conclusion: It is concluded that by identifying risk factors being amenable to modification, such as cigarette smoking, the effective risk-reduction strategies can be devised. Additional studies are needed to be performed on hormonal and immunologic factors possibly involved in EP.