Profile and Outcome of Eclampsia in a Rural Tertiary Hospital
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2014, Vol 10, Issue 3
Abstract
Objective: to study the profile and outcome of eclampsia in a rural tertiary hospital. Materials and Method: the study was conducted over a period of one year 1.1.2012- 31.12.2012 in all eclampsia patients. All antenatal eclampsia were terminated irrespective of gestational age. All patients were treated with Magnesium Sulphate (MgSO4). Blood Pressure (BP) of the patients was controlled with sublingual/ intranasal/oral nifedipine and oral labetalol. Results: incidence of eclampsia was 3.57%, case fatality rate was 3.57%. 29.76% maternal death was due to eclampsia. 84% patients had antepartum eclampsia and 16% patients admitted with postpartum eclampsia. 84% of patients belonged to <25yr age among them 34.42% patients were teen aged. Primigravida accounted for 84% cases. Severe hypertension was seen in 45.57% patients. 6(0.85%) patients had BP <140/90 mm of Hg. In majority (55.28%) MgSO4 regimen could be started 12 hrs after first fit. Most (97.45%) patients delivered within 12hrs of admission. 9 mothers died before delivery. 65.36% patients had vaginal delivery. Caesarean section (CS) was done for 16.80% patients. 90.74% babies were live. Perinatal mortality was 17.18%. 36% cases died within 12hr of admission and remaining death occurred 12 hrs after admission. Cerebral hemorrhage (40%) was the most cause of death. 28% patients died of pulmonary edema 12% death was due to postpartum hemorrhage, hepatic coma was responsible for 2 deaths. One patient died of aspiration, one mother succumbed to septicemia. Acute renal failure led one death. Conclusion: eclampsia is a reflection of poverty illetaracy and lack of awareness. So to avert the maternal death due to eclampsia we have to improve our existing health care facility at the same time awareness, female literacy have to be increased to avail the existing health care facility.
Authors and Affiliations
Aparna Khan , Arindam Ghosh , Pradip Kumar Banerjee , Tapan Kumar Mondal
Keywords
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