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
ROLE OF PRE-OPERATIVE UPPER GASTRO-INTESTINAL ENDOSCOPY IN SYMPTOMATIC PATIENTS UNDERGOING ELECTIVE LAPAROSCOPIC CHOLECYSTECTOMY FOR GALL BLADDER STONE DISEASE
BACKGROUND Gallbladder stone disease is one of the most common problems encountered in surgical practice. The diagnosis of gallbladder stone disease has increased over the last decade because of the ease of access to son...
SIGNIFICANCE OF PLASMA ANTIOXIDANTS IN PATHOGENESIS OF DENGUE HAEMORRHAGIC FEVER
BACKGROUND Dengue is a major cause of morbidity in tropical and sub-tropical regions. It has been shown that there is a relationship between immune and oxidative mechanisms leading to altered immune responses. The role o...
COMPARISON OF HAEMODYNAMIC PROFILE AFTER SPINAL ANAESTHESIA IN PATIENTS ON REGULAR TREATMENT WITH CALCIUM CHANNEL BLOCKERS AND β BLOCKERS
BACKGROUND Hypertensive patients develop wide swings in blood pressure intraoperatively, especially after spinal anaesthesia. Long term antihypertensive agents can modify this effect by controlling blood pressur...
FOETOMATERNAL OUTCOME AMONG ELDERLY PREGNANT WOMEN ATTENDING A PERIPHERAL TEACHING INSTITUTION OF WEST BENGAL, INDIA- A PROSPECTIVE OBSERVATIONAL STUDY
BACKGROUND Advances in assisted reproductive technology, delayed marriage and increase in the rate of divorce followed by re-marriage all lead to an increased number of women giving birth for the first time at the age of...
GASTROINTESTINAL STROMAL TUMOUR – REVISITED
Although less common than epithelial neoplasms, mesenchymal tumours of GI tract are not rare. The main bulk of these mesenchymal tumours is formed by Gastrointestinal stromal tumors (GIST). However they are not...