ABSTRACT

OBJECTIVES: to evaluate the prevalence, clinical presentation, and surgical management outcomes of ectopic pregnancies in a tertiary hospital in Paraguay over a three-year period.
METHODS: this descriptive, cross-sectional observational study analyzed 389 clinical records of women aged 12-45 years who underwent surgical procedures for ectopic pregnancy at Hospital San Pablo from 2021 to 2023. Data on sociodemographic characteristics, symptoms, gestational age, implantation site, and surgical management were collected. Statistical analyses included frequencies, percentages, and measures of central tendency.
RESULTS: the prevalence of ectopic pregnancy requiring surgical intervention was 4.4% (17/389). The mean age of affected women was 32.4 years (SD±7.2). The most common presenting symptom was vaginal bleeding (58.8%), followed by lower abdominal pain (29.4%). Ultrasound confirmed 88.2% of cases, with right tubal implantation (58.8%) being the most frequent location. Salpingectomy was performed in 88.2% of cases, making it the predominant surgical treatment. Complicated ectopic pregnancies accounted for 76.5% of cases.
CONCLUSION: ectopic pregnancies requiring surgery remain an important clinical challenge, necessitating early diagnosis and prompt intervention to prevent severe maternal morbidity. Salpingectomy remains the standard surgical approach. Further research on non-surgical management strategies and long-term reproductive outcomes is warranted.

Keywords: Ectopic pregnancy, Paraguay, Maternal mortality, Prevalence

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