FOETOMATERNAL OUTCOME IN ECLAMPSIA IN TERTIARY CARE HOSPITAL
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 41
Abstract
BACKGROUND Eclampsia is defined as preeclampsia with convulsions that cannot be attributed to another cause. Eclampsia continues to be a major cause of maternal morbidity and mortality. MATERIALS AND METHODS It was a retrospective descriptive study conducted in Christian Medical College and Hospital, Ludhiana over a period of 5 years. During this period, 70 patients of eclampsia were studied and the incidence of eclampsia, socio-demographic parameters, clinical presentation, type of eclampsia, mode of delivery and its foetomaternal outcome were noted. RESULTS Incidence in our study was 1.01%. This study showed that eclampsia was seen between 19 - 24 years of age group, in primigravida, unbooked and illiterate patients. Antepartum eclampsia was seen in 46 (60%) patients. Vaginal delivery occurred in 36 patients and 34 patients had LSCS. Most common complications were HELLP syndrome, pulmonary oedema and acute renal failure. Overall, 4 maternal deaths were reported. Neonatal outcome included live births in 57 (81.42%), fresh still births in 8 (11.42%) and 5 (7.14%) already had intrauterine deaths. Foetal complications like severe birth asphyxia, respiratory failure, hyaline membrane disease and meconium aspiration syndrome were seen. CONCLUSION Eclampsia remains a major cause of maternal mortality in India, resulting from unplanned pregnancies and unsupervised deliveries. To defeat this powerful enemy, and decrease the burden of maternal deaths, we need to educate and encourage the general public to opt for prompt antenatal, intranatal and postnatal care.
Authors and Affiliations
Arti Tuli, Juhi Rathi, Neha Garg, Ruchi Vashisht
Keywords
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- EP ID EP548357
- DOI 10.14260/jemds/2018/987
- Views 92
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