Ectopic pregnancy incidence is high in Nepal. It’s high time the nation was aware of it


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Every time a new family member is born, it is a blessing to the family. However, this is not always the case when a mother faces complications during pregnancy and childbirth, for example one of a woman’s life-threatening situations is her ectopic pregnancy.

An ectopic pregnancy is a serious condition that occurs when a fertilized egg develops outside the uterus, usually in the fallopian tubes.

This problem, estimated to occur in about 1% of all pregnancies, presents a difficult diagnosis for health care providers because it has a wide variety of symptoms and overlaps with other conditions that can cause abdominal pain. It may become.

Recently, ectopic pregnancy has been reported more frequently in Nepal, so it is useful to know the symptoms, diagnosis and treatment of ectopic pregnancy.

Ectopic Pregnancy in Nepal

According to global statistics, ectopic pregnancy is the leading cause of maternal morbidity and mortality, causing an estimated 50,000 deaths worldwide each year. Nepal leads the way with an estimated incidence of all pregnancies of 1.5% for her.

Most cases occur in rural areas with limited access to health care and diagnostic facilities, which can lead to delays in diagnosis and treatment. This increases the risk of maternal and pregnancy complications and adverse outcomes.

In addition to problems with access to care, cultural and socioeconomic factors such as early marriage and childbirth, lack of access to family planning and contraception, and maternal malnutrition also contribute to Nepal’s problems.

Focusing on improving access to quality healthcare and reproductive health services is critical to addressing the enormous burden of ectopic pregnancy in Nepal. Next, we need to raise awareness and education about risks and prevention strategies.

This includes efforts to improve the availability and use of diagnostic facilities and strategies to promote the use of effective contraception and family planning to reduce the risk of unintended pregnancies. .

Symptoms and diagnosis

The main symptoms of an ectopic pregnancy are mild to severe abdominal pain and sometimes vaginal bleeding. Other symptoms include shoulder pain, dizziness or fainting, nausea or vomiting.

These symptoms can be difficult to distinguish from other conditions such as appendicitis or a ruptured ovarian cyst. Therefore, it is important that health care providers consider ectopic pregnancy in the differential diagnosis and use appropriate diagnostic tests to confirm or rule out the diagnosis.

Diagnostic tests for ectopic pregnancy include a combination of physical examination, laboratory tests, and imaging tests. A pelvic examination helps the health care provider determine the location and size of the pregnancy.

Meanwhile, laboratory tests such as pregnancy tests, blood counts, and blood chemistries can help confirm the diagnosis and assess the mother’s overall health.

Imaging tests, such as an ultrasound or CT scan, help locate the pregnancy and assess the condition of the fallopian tubes and surrounding structures.

treatment

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Treatment of an ectopic pregnancy depends on the location and stage of the pregnancy and the general health of the mother. In some cases, pregnancy can be treated with drugs to stop its growth and preserve the fallopian tubes.

In other cases, surgery may be needed to remove the pregnancy and repair or remove the fallopian tubes. Severe bleeding or rupture may require emergency surgery to control the bleeding and stabilize the mother.

Several risk factors have been implicated in causing ectopic pregnancy, including previous ectopic pregnancy, previous infertility or pelvic surgery, and smoking. Women with any of these risk factors should talk with their health care provider and follow their recommendations to prevent problems.

In conclusion, ectopic pregnancy is a serious, potentially life-threatening condition that requires prompt diagnosis and treatment. In Nepal, the incidence of this problem is high, especially in rural areas, and is influenced by various cultural, socioeconomic and access to care factors. Therefore, there is an urgent need to address this issue.





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