PERINATAL OUTCOME IN ECLAMPSIA- A RETROSPECTIVE STUDY IN A TERTIARY CARE CENTRE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 37
Abstract
BACKGROUND Eclampsia is a life-threatening disease that is associated with a high maternal and perinatal mortality rate. Incidence of eclampsia in India is high and it has remained high over the last few decades. The perinatal mortality associated with eclampsia too continues to be high as compared to the developed nations. Aims- To study the perinatal mortality in eclampsia in our institute and to analyse the risk factors associated with a poor perinatal outcome. MATERIALS AND METHODS This is a retrospective observational study carried out in the Department of Obstetrics and Gynaecology at a Medical College Hospital from 1st January 2015 to 31st December 2015. The records of all patients with eclampsia were collected and the data was analysed using percentages. RESULTS The perinatal mortality in eclampsia was 33.8%. Majority of eclamptics were primigravida (62.2%). Perinatal mortality was high (70.8%) when gestational age was less than 34 weeks and in babies weighing less than 2 kg (95.4%). Perinatal mortality was high when urine albumin was more than 2+ and serum uric acid was more than 6 mEq/lit. Perinatal mortality was low in babies delivered by Caesarean section. CONCLUSION Eclampsia continues to kill our neonates. Proper antenatal care, early recognition of high risk factors and timely management of such cases will help to reduce perinatal mortality.
Authors and Affiliations
Priyali Purandare, Sunita Mishra, Ratna Thakur, Shruti Tiwari
Keywords
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- EP ID EP210932
- DOI 10.14260/Jemds/2017/647
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