Clinical profile and management of non-tubal ectopic pregnancy: Experience from a tertiary care hospital in the United Arab Emirates (UAE)

Shumaila Aftab Khan; Shaba Molvi; Giya Mathew; Muna  Khalfan

doi:10.12669/pjms.40.9.8584

Shumaila Aftab Khan Western Trust Social Care Services
Shaba Molvi
Giya Mathew
Muna Khalfan

DOI: https://doi.org/10.12669/pjms.40.9.8584

Keywords: Non-tubal ectopic pregnancy, Cervical pregnancy, Cornual pregnancy, Caesarean Scar ectopic pregnancy, Ovarian pregnancy, Scar pregnancy

Abstract

Objective: To study the clinical profile and management outcomes of non-tubal ectopic pregnancy at a tertiary care hospital in the United Arab Emirates (UAE).

Methods: Case files of non-tubal ectopic pregnancy (NTEP) patients from October 2017 to October 2020 presented to Alqasmi Women and Children’s Hospital, Sharjah, were included in the study. The data was extracted from available medical records.

Results: A total of 30 confirmed cases of NTEP were identified with the following break-up: caesarean scar ectopic pregnancy (n=14; 46.7%), cornual pregnancy (n=11; 36.7%), cervical pregnancy (n=3; 10%) and ovarian pregnancy n=2; 6.7%). Abdominal pain was the most common presenting symptom, present in 23 (76.7% patients) followed by vaginal bleeding in 17 (56.7%) patients. Ten women were managed medically, ten required surgical treatment, and eight were managed with combined medical and surgical treatments; Two patients were managed expectantly. Patients in each treatment strategy did well and there were no deaths. One patient in the medical treatment group developed complications after one month and underwent subtotal hysterectomy.

Conclusion: Patients with NTEP were presented with varying symptoms and signs depending upon the location of NTEP. The different currently available management options for NTEP seem to be effective and safe when carefully selected based on the clinical merits of each case.

doi: https://doi.org/10.12669/pjms.40.9.8584

How to cite this: Khan SA, Molvi S, Mathew G, Khalfan M. Clinical profile and management of non-tubal ectopic pregnancy: Experience from a tertiary care hospital in the United Arab Emirates (UAE). Pak J Med Sci. 2024;40(9):2063-2068. doi: https://doi.org/10.12669/pjms.40.9.8584

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