MATERNAL AND PERINATAL COMPLICATIONS OF SEVERE PREECLAMPSIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 10
Abstract
BACKGROUND Hypertensive disorders of pregnancy are a major cause of maternal morbidity and mortality. Preeclampsia is characterised as mild or severe. Features of severe preeclampsia include severe proteinuria, hypertension, symptoms of central nervous system dysfunction, hepatocellular injury, thrombocytopenia, oliguria, pulmonary oedema, cerebrovascular accident and severe intrauterine growth restriction. Aims and Objectives1. To determine maternal outcome in severe preeclampsia. 2. To determine foetal and neonatal outcome in severe preeclampsia. MATERIALS AND METHODS This prospective, observational study was worked out in the Dept. of Obstetrics and Gynaecology, MKCG Medical College and Hospital, Berhampur, Odisha from 1st October 2016 to 30th September 2017. Cases of severe preeclampsia were identified. Blood pressure measurements were done. Blood samples were collected for laboratory evaluation. Maternal complications such as eclampsia, HELLP syndrome, acute renal insufficiency, disseminated intravascular coagulation, placental abruption, cerebral and visual disturbance, oliguria, IUGR, pulmonary oedema etc. were recorded. RESULTS Among the cases of severe preeclampsia, most were in the age group of 21 - 30 years (56%), were illiterate (57.8%) and stayed in rural areas (72.9%). Most of them belonged to lower socioeconomic status (41.3%) followed by middle and majority were booked cases (70.6%). Most common clinical feature was raised SBP (> 160) in 204 cases and DBP > 110 in 208 cases. Oedema was associated in 79.3% cases and rare feature like visual disturbances was seen in 3.8% of cases. Most of the maternal complications were due to development of pulmonary oedema (29.3%) and most common foetal complication observed was acute foetal distress (24.1%) followed by oligohydramnios (13.7%). CONCLUSION The goals of therapy must always be the safety of the mother first and then consideration for optimum perinatal outcomes
Authors and Affiliations
Ritanjali Behera, Arpika Aparajita Behera
Keywords
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- EP ID EP411257
- DOI 10.14260/jemds/2018/268
- Views 83
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