A Study of Fetomaternal Outcome In Eclampsia - A Case Control Study
Journal Title: National Journal of Medical Research - Year 2017, Vol 7, Issue 1
Abstract
Introduction: In India, reported incidence of eclampsia varies from 0.179 to 3.7 %. And maternal mortality varies from 2.2 to 23 % of all eclamptic women. India the perinatal and maternal outcome is still poor due to inadequate antenatal care in rural areas, financial restraints and non-availability of transportation facilities, and social taboos causing delay in management resulting in poor maternal and neonatal outcome. Methodology: The current study was a Case control study, done among cases of Eclampsia admitted to the labour room of SSSH, Baroda in Gujarat. Patient immediately preceding each case and patient immediately succeeding each case not having Eclampsia having similar Parity and Gestational age were included as controls. Permission to conduct the study was obtained from Ethical Committee of Institute. Total 70 patients of Eclampsia presented in this institution during the study period. Accordingly 140 controls were included in the study. Fetomaternal outcome of all Cases and Control were compared and analysed. Results: Out of 70 cases 56 (80%) were of Antepartum eclampsia, 02 (2.9%) were of Intrapartum eclampsia & 12(17.1%) were Postpartum eclampsia. Out of total 70 cases, 46 (65.7%) were full term delivery. Out of total 46 live births among cases and 106 live births among controls, 40 (86.9%) Cases and 87(82.1%) Controls were fullterm (>37 weeks). Out of total 24 Still birth in cases and 34 still birth in controls, 18(75.0) Cases and 24(70.6%) Controls were preterm (<37 weeks). Among the cases, 34(48.6%) babies had birth weight between 1000-2000 grams against 53(37.8%) controls who belong to the same category. The incidence of low birth weight in eclampsia is attributed to prematurity & IUGR. The maternal mortality was high in the Case group i.e. 8.57%. There was no maternal mortality in the Control group. Causes of mortality includes Cerebrovascular haemorrage, DIC with renal failure, HELLP Syndrome with Cerebral malaria, Hepatic encephalopathy and Pulmonary edema sec. to aspiration. Conclusion: The maternal and Infant mortality was high in the Eclamptic patients. Causes of mortality includes Cerebrovascular haemorrage, DIC with renal failure, HELLP Syndrome with Cerebral malaria, Hepatic encephalopathy and Pulmonary edema sec. to aspiration.
Authors and Affiliations
Priyanka Chandrakant Patel, Krina Krunal Kathawadia, Hardevsingh Bachittarsingh Saini
Keywords
Related Articles
- EP ID EP635133
- DOI -
- Views 127
- Downloads 0
Venlafaxine as an Augmentation of Electro- Convulsive Therapy in Treatment Resistant Depression- A Case Report
Treatment of challenging cases of Depression with or without psychotic features often needs use of Electro-convulsive Therapy at some stage. The purpose of this case report is to demonstrate the effectiveness of augmenta...
A Study on Prevalence of Different types of Dermatosis in Pediatric Age Group in Semiurban Population of Pune City
Introduction: Dermatological problems constitute at least 30% of all outpatient visits to pediatricians and 30% of all visits to a dermatologist involve children. The present study was undertaken to determine the pattern...
A Study on Fibrinogen Levels in Patients of Acute Stroke
Introduction: Risk factor for stroke includes diabetes, hypertension, smoking and hyperlipidemia and these have been linked to abnormalities of haematology and coagulation such as increased fibrinogen. The present study...
Vaccum Assisted Plastination Using Melamyne
Introduction: This study is an attempt to perform plastination using indigenous method which is cheap, executable and does not require extremes of cold temperature and technical instruments. The effectiveness of the proc...
Socio Demographic and Clinical Factors associated with TB Meningitis among HIV Positive Patients
"Introduction: Infection with HIV is associated with increased risk of activation of latent infection of Tuberculosis, as well as increased risk of rapid progression of primary infection, without an intervening period of...