What question did this study set out to answer?

To determine the prevalence, clinical profile, management, and outcomes of ectopic pregnancy at a tertiary hospital in Nepal.

May 30, 2026Open Access

Clinical Profile and Management of Ectopic Pregnancy at a Tertiary Hospital in Sudurpaschim Province, Nepal: A Five-Year Retrospective Study

Key Points

To determine the prevalence, clinical profile, management, and outcomes of ectopic pregnancy at a tertiary hospital in Nepal.
Retrospective descriptive study conducted at Seti Provincial Hospital over five years.
Reviewed medical records of women diagnosed with ectopic pregnancy from April 2018 to April 2023.
Used descriptive statistics to analyze demographic and clinical data.
Hospital-based prevalence of 0.86% from 13,247 gynecological admissions.
Most cases (88.60%) involved multigravida patients, with 97.37% implantations in the fallopian tube.
Surgical management performed in 91.23%, with 89.47% patient recovery and no maternal deaths.

Abstract

Introduction: Ectopic pregnancy is a potentially fatal condition and an important cause of early pregnancy morbidity. This study aimed to determine the hospital based prevalence, clinical profile, reproductive history, management, and outcomes of ectopic pregnancy at a tertiary hospital in Sudurpaschim Province, Nepal. Methods: A hospital-based retrospective descriptive study was conducted in the Department of Obstetrics and Gynecology at Seti Provincial Hospital, Sudurpaschim Province, Nepal. Medical records of women diagnosed with ectopic pregnancy from April 2018 to April 2023 were reviewed. Demographic characteristics, clinical presentation, reproductive history, diagnostic investigations, site of implantation, management, and outcomes were extracted from hospital records. Data were analyzed using Statistical Package for the Social Sciences version 21. Descriptive statistics were used to summarize the findings. Results: A total of 114 eligible cases of ectopic pregnancy were included among 13,247 gynecological admissions, yielding a hospital-based prevalence of 0.86%. Patients aged 21-35 years accounted for 73.68% of cases, and 101 (88.60%) were multigravida. Pelvic inflammatory disease 61 (53.51%) and previous abortion 61 (53.51%) were frequent reproductive histories. The fallopian tube was the site of implantation in 111 (97.37%) cases, predominantly ampullary 74 (64.91%). Amenorrhea 76 (66.67%) and abdominal pain 56 (49.12%) were common presenting symptoms. Surgical management was performed in 104 (91.23%) patients, most frequently salpingectomy 72 (63.16%). Recovery occurred in 102 (89.47%) patients, while 12 (10.53%) developed postoperative wound infection. No maternal deaths were recorded. Conclusions: Ectopic pregnancy was commonly observed among women of reproductive age, particularly multigravida patients, with most cases managed surgically and favorable outcomes.

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