Maternal and perinatal outcome in women with Eclampsia: A retrospective study
Journal Title: International Journal of Medical Research and Review - Year 2016, Vol 4, Issue 4
Abstract
Introduction: Eclampsia continues to be a major problem particularly in developing countries, contributing significantly to high maternal & perinatal morbidity & mortality. Methods: A retrospective study was conducted between May 2010 and April 2015 among 542 patients who presented in emergency with eclampsia and initially admitted in department of Obstetrics and Gynecology and subsequently were managed at intensive care unit of teaching hospital in Bilaspur, Chhattisgarh. Result: Out of 14, 902 pregnancies in the 5 year period of study in our tertiary care hospital, the estimated incidence was 3.5%, 85.6% patients had not received any regular antenatal care & 70.6% were primigravida. Majority of the cases (81.8%) as antepartum/ intrapartum eclampsia in the age group of 20-24 years (66.2%).Mostly (62.4%) patients presented at term, 69.7% had vaginal delivery, while 30.3% underwent caesarean section. The main factors contributing to maternal deaths (8.4%) were puerperal sepsis (11%), oliguria (8.1%) and pulmonary edema (5.9%).Conclusion: Eclampsia is found to cause high incidence of maternal mortality & morbidity, which is also responsible for high rates of perinatal mortality. By creating an awareness and improvement in quality of basic antenatal care can reduce the incidence of eclampsia.
Authors and Affiliations
Madhumita Murthy, R. Nigam, S. Kujur
Keywords
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