Comparative Study of Eclamptic and Non-Eclamptic Convulsive Disorders in Pregnancy
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2014, Vol 2, Issue 5
Abstract
The present study was undertaken with the aims to analyse pregnancy with convulsive disorder and to compare various aspects of eclamptic and non-eclamptic convulsions. It was a Hospital based prospective observational study performed in tertiary care medical college hospital. This study was conducted in department of Obstetrics and gynaecology Kamla Raja Hospital G R medical college MP over a period of six months from july to December 2013. Total 72 patients with convulsions were enrolled. Out of total 72 subjects only 13.33% were booked cases. Majority (66.66%) of the subjects were in 19-25 age group. Among eclamptic subjects 66.6% were Gravida-1 compared to 13.35% among non-eclamptic group. Majority (80%) of the eclamptic patients were brought in either drowsy or unconscious state compared to 58 % in non eclamptic group. Almost half of the patients in both the groups had convulsions during intrapartum period. First convulsions in half of the eclamptic group subjects happened between 28-40 weeks of period. Only 10 % of eclamptic patients had convulsion in hospital against 25% in non-eclamptic group. Vaginal delivery was observed in 11.66% in eclamptic versus 33.33% of non eclamptic patients. Majority (86.33%) of neonates in eclamptic group and 66% in non-eclamptic group were LBW. Thrombocytopenia was observed in 18% of eclamptic patients and only 8.33% of non eclamptic patients. Majority (80-86%) of newborns born to both eclamptic & non-eclamptic mothers were asphyxiated .Both the groups had similar neonatal mortality (8.33%). Epilepsy and cerebral malaria were among the commonest (25% each) causes of convulsions in non-eclamptic patients followed by Neurocysticercosis and meningitis (16.99% each). Keywords: Eclampsia, Convulsions in pregnancy, PRES, CVT, Neurocysticercosis, Subarachnoid hemorrhage
Authors and Affiliations
Neelam Rajput, Yogendra S Verma, Geeta Ahirwar
Keywords
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