Ectopic Pregnancy: A Clinical, Demographic, and Risk Factor Analysis in a Tertiary Care Hospital

Abstract

Background: Ectopic pregnancy remains a major cause of maternal morbidity and mortality in developing countries. Rupture of an ectopic pregnancy remains the most dreaded complication of a pregnancy related event. It occurs when a fertilized ovum implants outside the uterine cavity, most commonly in the fallopian tube. Aim: To analyze the sociodemographic characteristics, clinical presentations and predisposing factors of ectopic pregnancy at a tertiary care hospital.
Materials and Method: This cross-sectional study was conducted in the Department of Obstetrics and Gynecology, Dhaka Medical College Hospital, from November 2021 to May 2022. A total of 62 women diagnosed with ectopic pregnancy were included. Results: The mean age was 27.4±4.2 years, with most patients (43.5%) aged 26–30 years. Most of the patients were nulliparous 17(28%). Previous pelvic surgery was the most common risk factor (13%). Abdominal pain and amenorrhea were universal symptoms, while 82% presented with per vaginal bleeding. The ampullary region was the commonest site (77%), with right-sided predominance (56%). Salpingectomy was performed in 82%. Conclusion: Ectopic pregnancy predominantly presents in acute, ruptured form, mostly occurring at late twenties, in nulliparous women. So, early diagnosis and prompt management are essential to prevent mortality, morbidity and preserve fertility.

J Med Coll Women Hosp.2026; 22(2): 25-30