A RETROSPECTIVE ANALYSIS OF CONVULSIONS IN PREGNANCY IN A TERTIARY REFERRAL MEDICAL COLLEGE HOSPITAL
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2014, Vol 3, Issue 22
Abstract
[b]AIM: [/b]To analyze the various convulsions in pregnancy with particular reference to noneclamptic convulsions and its incidence. [b]MATERIAL & METHODS[/b]: A retrospective analysis of all antenatal, intranatal and postnatal patients who presented with convulsions was selected and details collected. We analyzed the period from 2007-2013. During this period we had 4315 deliveries. Out of this we had 18 patients who had convulsions. These were then analyzed. [b]RESULTS AND [/b] [b]CONCLUSIONS: [/b]Out of the 18 convulsions we had 12 cases of eclampsia which gave us an incidence of 0.27%. 6 were of non-eclamptic convulsions giving us an incidence of 0.139% including 2 cases of posterior reversible encephalopathy syndrome, 2 cases of cortical venous thrombosis, 1 case of neurocysticercosis and 1 of subarachnoid hemorrhage. The presence of 1/3rd of cases being noneclamptic should put us on our guard against labeling all convulsions in pregnancy as eclampsia and a detailed workup including radiological is imperative to diagnose correctly. Our small sample size does risk bias and further studies are needed to get a correct incidence.
Authors and Affiliations
Anoop Sreevalsan, Srinija P, Surya P, Vasantha Subbiah
Keywords
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- EP ID EP95634
- DOI 10.14260/jemds/2014/2705
- Views 78
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