Maternal And Perinatal Outcome in Eclampsia in Siddhartha Medical College, Govt. General Hospital, Vijayawada, Andhra Pradesh
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 3
Abstract
Objectives: To assess maternal and perinatal outcome in patients presenting with eclampsia. Methods and Material: This is a prospective study done at Siddhartha Medical College, Government General Hospital, Vijayawada from April 2015 to March 2016. In all patients with eclampsia, maternal outcome was measured in terms of complications like pulmonary edema, hematological disorders, renal failure, cerebral haemorrhage and maternal death. Perinatal outcome was noted in terms of pre-term births, IUGR still births, NICU admissions. Result: In 6880 deliveries in our hospital, 74 cases were diagnosed as eclampsia, giving an incidence of 10.7 per 1000 deliveries. There were two maternal deaths, giving a case fatality rate of 2.7%.Eclampsia was commonest among the age group of 18-23 years. Primi Gravidae constituted 78.3% of the cases. Majority of patients (81.08%) were unbooked. Antepartum eclampsia was seen in 67.5% of the cases more than Intrapartum (10.8%) and postpartum (21.6%). Forty-two patients had severe hypertension on admission diastolic BP >110 mmHg. Thirty-two patients had mild hypertension diastolic BP (90 to <110 mmHg). Forty (54%) were delivered through caesarean section, twenty-five (33.3%) had normal vaginal delivery and nine (12%) had assisted vaginal delivery. Maternal complications include 3 cases of acute renal failure, 3 cases of HELLP syndrome, 2 cases of pulmonary edema, 2 cases of coagulation failure, 6 cases of abruption, 1 case of cortical blindness and 1 case of cerebral venous sinus thrombosis. Sixty-two babies were delivered live while twelve still births were recorded. Sixteen babies (21.6%) had low birth weight and twenty-two babies (29.7%) had normal birth weight. Conclusion: Eclampsia still remains a major cause of maternal morbidity and mortality. More awareness and enabling factors should be created for more women to access antenatal facilities. Information about danger signs of pre-eclampsia/eclampsia should be made available to antenatal cases.
Authors and Affiliations
Dr. G. Chandrakala MS, Dr. M. Tripurasundari MD
Keywords
Related Articles
- EP ID EP598568
- DOI 10.9790/0853-1603075557.
- Views 43
- Downloads 0
Prevalence of Cutaneous Changes in Chronic Renal Failure Patient On Haemodialysis in Tertiary Care Center of Jharkhand.
Abstract:Chronic renal failure (CRF) presents with an array of cutaneous manifestations. Cutaneous signs of renal failure are mainly related to chronicity of disease. We evaluated the prevalence of various dermatological...
Postoperative Spinal Wound Infection in Neurosurgical wards at RIMS, a Single Centre Experience
With modern surgical techniques and perioperative antibiotics, spinal infection after surgery is relatively uncommon. Certain patient and surgical treatments are however at higher risk and should be treated with extra ca...
Jelly Wax an Alternative to Resin for Sheet Plastination
Plastinationcan be used for anatomy, art, biology, clinical medicine, surgery and many fields. Semitransparent 3-5 mm brain sections can display distinct grey and white matter by using jelly wax. It can be an excellent a...
Study on Hypoglcemia in Newborns in Rims
Hypoglycemia in newborn is defined as blood sugar level less than 40mg/dl. It is very common problem in newborns especially pre-terms. The following study has been done to see the pattern of hypoglycaemia among newborns...
“Assessment of Oral Hygiene Habits and Oral Health Awareness among Pre-University Students (16-18yrs) Of Mangalore”- A Questionnaire Study
Purpose/ objective Health is a highly individualized concept, its perception is very much colored by individuals experience and cultural background. In parallel with the changing oral disease patterns there should be sig...