Fetomaternal Outcome in Pregnancy with Eclampsia in Tertiary Care Hospital
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 7
Abstract
Objective - To assess the maternal morbidity and mortality and fetal outcome with eclampsia in pregnancy. Study Design – Cross sectional study. Place and Duration of Study – Emergency Department of Obstetrics and Gynecology, VS Hospital, july 2010 to june 2012. Methodology - 300 patient with eclampsia in pregnancy presented at gynaec emergency department were studied in regard with clinical manifestations, timing, management and fetomaternal outcome. Result – Over all incidence of eclampsia was 2.8 % with maximum number of emergency cases (85%) among which 78% patients were from low socio economic class. Maximum number of patients belonged to <=25 years (74%) of age group with 68% primigravida. Antepartum, intrapartum and postpartum eclampsia cases were 75%, 14% and 11% respectively. 156 patients had normal vaginal delivery and 144 had undergone cesarean section. Most of the patients responded well to magnesium sulphate therapy and a few required other anticonvulsant therapy. Perinatal mortality rate was 30% and neonatal mortality rate was 9%. Maternal mortality rate 6% due to lack of essential obstetric care, low socio economic status, delayed hospitalization. Conclusion - Eclampsia is a multisystem disorder of complex origin with high maternal and fetal morbidity and mortality. Proper antenatal care, early diagnosis of preeclampsia, proper management and selective termination will improve maternal and perinatal outcome
Authors and Affiliations
Dr. Pravinkumar Jadav
Keywords
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