Comparison of maternal and neonatal outcomes in severe preeclampsia cases with early intervention and late presentation in rural area
Journal Title: Medpulse International Journal of Gynaecology - Year 2018, Vol 6, Issue 3
Abstract
Background: Preeclampsia is a multisystem, highly variable disorder unique to pregnancy and a leading cause of maternal and fetal morbidity and mortality. Early detection is very important in severe cases. Aim: To compare maternal and neonatal outcomes in severe preeclampsia cases with early intervention and late presentation in rural area. Material and Methods: In this observational study the comparison was done between 25 cases each of early intervention (Group A) and late presentation (Group B) in 50 cases of severe preeclampsia. All patients of severe preeclampsia presented in outpatient department were considered for early intervention and those in labor were selected as late presentation. Maternal and neonatal outcomes were recorded. Results: The results were maternal mortality in severe preeclampsia in early intervention was nil and in late presentation was 16%. Maternal complications were also significantly less in early intervention. Maternal morbidity studied as hospital stay <1 week and >1week in severe preeclampsia (Group A) was 16% and (Group B) was 40%. NICU admissions in severe preeclampsia in early intervention were 12% and late presentation 28%. Apgar score at 5 min of 8-10 in early intervention andlate presentation was 80%and 64% respectively. Conclusion: Early intervention in severe preeclampsia are associated with better maternal and neonatal outcomes than in late presentation.
Authors and Affiliations
Sanjay Bansode, Mitali S Golechha
Keywords
Related Articles
- EP ID EP475405
- DOI 10.26611/1012634
- Views 124
- Downloads 0
Analytical study of hysterectomies
Background: Hysterectomy is a very frequently performed surgery in women, next to caesarean section. Hysterectomy is considered definitive treatment of various pelvic pathologies like leiomyoma, dysfunctional uterine ble...
Gynecological morbidity profile of adolescent females attending OPD at tertiary care Hospital
Background:Gynecological morbidities are often hidden problems that the adolescent girls of this country faces, if neglected then might be responsible for bigger health issues in future. Objectives: To see the morbidity...
Comparative study of peri and post-operative outcome in vaginal and abdominal hysterectomy
Background: Hysterectomy is surgical removal of all or part of uterus. The first abdominal hysterectomy was performed by Charles Clay in Manchester in 1843. Vaginal hysterectomy dates back to ancient times Aims and Objec...
Correlation of admission test and amniotic fluid index with mode of delivery and perinatal outcome
To prove the efficiency of Admission test and Amniotic fluid index (AFI) in predicting foetal jeopardy during labour and to select the patient who require continuous monitoring. This is an prospective observational study...
Role of transvaginal sonography in the study of migration of low-lying placenta from second trimester to end of third trimester
Objective: To study the migration of low lying placenta, diagnosed in the 2nd trimester by Transvaginal sonography. Methods: The study was conducted in Department of Obstetrics and gynaecology JLNMCH Bhagalpur between Ja...