“Feto-maternal Outcomes in Eclamptic Patients including ICU support: A comparative study in Enam Medical College Hospital”
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 12
Abstract
Eclampsia is alife threatening condition may occur before, during or after labour. Over half-a-million women die each year from pregnancy-related causes, and99 percent of these occur in developing countries. In Bangladesh though maternal mortality rate (MMR) declined significantly around 40% in the past decade, still eclampsia accounts for 20% of maternal deaths. Eclampsia is uniquely a disease of pregnancy, and the only cure is delivery regardless of gestational age. A rational therapy for general management of hypertension and convulsion has been established in Bangladesh by the Eclampsia Working Group. But controversy still exists regarding obstetric management. The aim of this study was to evaluate the feto-maternal outcome in eclamptic patients comparing to cesarean section to vaginal delivery including ICU support.This prospective Cohort study was conducted in the department of Obstretics& Gynecology, Enam Medical college hospital from July 2016 to December 2017. A total of 80 eclampticwomen were included in the study group (group I, 40 patients with vaginal deliveryand group II, 40 with cesarean section). Out of these 80 patients 73% were aged below 25 years, 77.5% were primigravida and 62.5% were from low socioeconomic status. Seventy five (75%) percent patients from group-1 and eighty (80%)group-II had no antenatal care. The mean gestational age was about 38 weeks in two groups. No significant difference was found between the two groups regarding blood pressure, proteinuria, consciousness level and convulsion. Regarding fetal outcome, stillbirth was 30% in group-I and 7.5% in group-II, the result was statistically significant. Birth asphyxia was less in group-II (27.5%) than in group-I (60%) and this was statistically significant. The result of the present study shows a better feto-maternal outcome in the cesarean section group than in vaginal delivery group.
Authors and Affiliations
Dr. Sheuly Begum, Prof. Dr. Gulshan Ara, Dr. Md. Atiqul Islam, Dr. Shabnam Rahman
Keywords
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- EP ID EP423837
- DOI 10.9790/0853-1712056974.
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