Perinatal and maternal mortality and morbidity in eclampsia
Journal Title: Medpulse International Journal of Gynaecology - Year 2018, Vol 8, Issue 1
Abstract
Background: Eclampsia is a severe complication of preeclampsia. It’s a rare but serious condition where high blood pressure results in seizures during pregnancy. Aim: The aim of this study is to evaluate and reduce the maternal mortality and perinatal mortality incidence associated with eclampsia. Materials and Methods: This is a study which was conducted in 208 cases of eclampsia conducted over a period of January 2017 to August 2017 i.e. over a period of 8 months. Results: In this study, 20,000 deliveries were conducted every year, out of which, 208 cases of eclampsia were observed among 14,004 cases of deliveries in 8 months period. The gestational age of >34 weeks was the highest, LSCS was observed in 43 patients, vaginal was observed in 57 patients. The number of convulsions was ≤3 in 40 patients who had LSCS, 99 patients who had vaginal delivery. The number of convulsions was greater than 3 with complications was seen in 27 patients who had LSCS, 34 patients had vaginal delivery. Complications like cerebro-vascular accident was observed in 8 patients, Haemolysis elevated liver enzyme and low platelet count syndrome (HELLP) was observed in 2 patients, renal failure was observed in 2 patients, abruption was observed in 6 patients, HTN encephalopathy was observed in 1 patient. 42/180 cases i.e. 15% of cases induced with in 2 hrs fetal survival in better and maternal recovery is also good. When induction was delayed, Perinatal outcome falls. Shorter the admission delivery interval better with be the perinatal outcome and will less maternal morbidity. Indications for LSCS were antepartum eclampsia with term gestation (33), antepartum eclampsia with obstretric labour (1), primi with face presentation (1), failed induction (22), cephalo pelvic disproportion (2), fetal distress (1), previous LSCS (1) and twins (1). Early resort to C.S. with IUGR, Doppler abnormalities and CTG abn and preterm with survivable babies in our NICU> 1.3kgs will improve perinatal survival. Conclusion: caesarean section done for LBW fetuses will improve the perinatal survival though fetuses with good weight may be left for vaginal deliveries.
Authors and Affiliations
A Mahitha Reddy, Kiranmai Devineni
Keywords
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- EP ID EP470451
- DOI 10.26611/1012815
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