Utilization of Emergency Services of Obstetrics and Gynecology in Ruptured Ectopic Pregnancy at a Tertiary Hospital

Authors

  • Umang Agarwal Associate Professor, Department of Emergency Medicine Chirayu Medical College and Hospital, Bhopal
  • Anita Shrivastava Associate Professor, Department of Obstetrics and Gynecology Chirayu Medical College and Hospital, Bhopal
  • Devashish Chakravarty Associate Professor, Department of Anesthesiology Chirayu Medical College and Hospital, Bhopal

Abstract

Objective: To evaluate the patterns of utilization of emergency obstetric and gynecologic services by women presenting with ruptured ectopic pregnancy at a tertiary hospital. Methods: A retrospective cross-sectional study was conducted, analyzing records for demographics, risk factors, delays, interventions, and outcomes among women admitted with ruptured ectopic pregnancy over a five-year period. Results: The majority of patients presented with ruptured ectopic pregnancy (66–85%), with significant propor- tion requiring surgical intervention and blood transfusion. Delayed presentation, prior tubal pathology, and lower awareness contributed to adverse outcomes, including ICU admission and occasional mortality. Conclusion: Strengthening early detection and referral pathways, ensuring prompt access to emergency care, and optimizing peripheral provider training are critical to improving outcomes in ruptured ectopic pregnancy.

References

1. Jindani SA, Sailor AB, Modi DA, Kaul S, Rami BD. A prospective study of obstetric and gynae- cological emergencies in a tertiary care hospi- tal. International Journal of Reproduction, Con- traception, Obstetrics and Gynecology. 2020 May 1;9(5):1992-6.

2. Singh T, Mohan S, Aggarwal S, Maji D. A study on presentation and management of ec- topic pregnancy at tertiary care hospital. Inter- national Journal of Reproduction, Contracep- tion, Obstetrics and Gynecology. 2021 May 1;10(5):1997-2001.

3. Pokharel HP, Prerana Dahal PD, Rubina Rai RR, Budhathoki SS. Surgical emergencies in obstetrics and gynaecology in a tertiary care hospital.

4. Mehta A, Jamal S, Goel N, Ahuja M. A retro- spective study of ectopic pregnancy at a tertiary care centre. Int J Reprod Contracept Obstet Gy- necol. 2017 Dec 1;6(12):5241-6.

5. Nwafor AV, Umeora OU, Ikeotuonye AC, Obi VO, Adiele NA, Onwe N, Onwe BI. Evaluating the management outcomes of gynaecological emergencies at a tertiary hospital, Abakaliki Southeast, Nigeria. International Journal of Re- production, Contraception, Obstetrics and Gy- necology. 2024 Feb 1;13(2):277-84.

6. Kharat D, Giri PG, Fonseca M. A study of epi- demiology of ectopic pregnancies in a tertiary care hospital of Mumbai, India. Int J Reprod Contracept Obstet Gynecol. 2017 Sep 1;6(9):3942-6.

7. Acharya I, Thapa S. Surgical emergencies among gynecological surgeries in a tertiary care center: a descriptive cross-sectional study. JNMA: Journal of the Nepal Medical Associa- tion. 2020 Dec 31;58(232):1052.

8. Ali A, Sultan S, Bekele MH. Magnitude And Maternal Outcome of Ectopic Pregnancy Among Women Admitted In Hiwot Fana Com- prehensive and Specialized University Hospital East Ethiopia: Hospital Based Retrospective Study (Doctoral dissertation, Haramaya Uni- versity).

9. Indira E, Rao BS, Anuradha J, Sabitha M, Pri- yanka G. A clinical study of ruptured ectopic gestation and its outcome in a tertiary care cen- tre. Int J Acad Med Pharm. 2024;6(2):561-6.

10. Ahirwar M, Singh P, Dohare R. Clinical study of ectopic pregnancy in tertiary care centre. Trends Clin Med Sci. 2023:309-18.

11. Barik S, Malakar A, Laha S. Trends in ectopic pregnancy: A prospective observational study from a tertiary care center in eastern India. Jour- nal of South Asian Federation of Obstetrics and Gynaecology. 2021 Feb 10;12(3):172-7.

12. Asah-Opoku K, Ameme DK, Mumuni K, Yaw- son A, Oppong S, Seffah J, Nkyekyer K. Clini- cal presentations and outcomes of ectopic preg- nancy at a tertiary referral hospital in Ghana. Health Sciences Investigations Journal. 2022; 3(2):374-9.

13. Banu SA, Pervin M, Akther R, Kabir R, Tasnim S. Pattern of Presentation and Management of Ectopic Pregnancy in Tertiary Care Hospital. Bangladesh Journal of Obstetrics & Gynaecol- ogy. 2021;36(1):28-32.

14. Shiragur S, Patil P, Ganganahalli P, Gudadinni M, Bidri S, Biradar A, Yaliwal R. Ruptured Ec- topic Pregnancy at Tertiary Care Centre: A Cross-sectional Study.

15. Parimalaa D, Jagathiswari DP, Pugazhendhi DT. Incidence of rupture of ectopicpregnan- cyinearly gestational age. TPM-Testing, Psy- chometrics, Methodology in Applied Psychol- ogy. 2025 Aug 11;32(S2 (2025): Posted 09 June): 567-78.

Published

2025-09-08
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