DOI: N/A
Akther R, Afruz M, Ahmed S, Zehan FA, Nurunnabi M
Background: Maternal morbidity and mortality are significantly increased by ectopic pregnancy, especially in women of reproductive age. For prompt diagnosis and treatment, it is crucial to comprehend its clinical presentation, risk factors, and management.
Objective: To evaluate the clinical characteristics and associated risk factors of ectopic pregnancy among women attending a tertiary hospital in Sylhet, Bangladesh.
Methods: A hospital-based descriptive cross-sectional study was conducted from January 2024 to December 2025, including 68 women diagnosed with ectopic pregnancy in the Department of Obstetrics and Gynecology, Sylhet Women’s Medical College Hospital, Bangladesh. Data on socio-demographics, clinical presentation, risk factors, site of ectopic implantation, and management were collected using a pre-tested structured questionnaire and patient medical records.
Results: The mean age of participants was 27.5±6.1 years, with the majority aged 18–25 years (41.2%). Most women were multiparous (60.3%). Common presenting symptoms included short H/O amenorrhea (91.2%), abdominal pain (88.2%), fever (82.4%), per vaginal bleeding (72.1%), per vaginal discharge (66.2%), and syncopal attacks (55.9%). The ampullary region of the fallopian tube was the most frequent site of ectopic implantation (66.2%), followed by the isthmic (17.6%) and fimbrial regions (13.2%). Pelvic inflammatory disease (63.2%), previous induced abortion (42.6%), and previous cesarean section (32.4%) were the predominant risk factors. Surgical management was the most common treatment (76.5%), with right-sided salpingectomy performed in 57.7% of surgical cases and left-sided salpingectomy in 42.3%.
Conclusion: The study findings indicate that ectopic pregnancy commonly affects young, reproductive-age women, presents with amenorrhea and abdominal pain, and most often involves the ampullary region, with surgical intervention being the predominant treatment.