TO STUDY THE ASSOCIATION OF SOCIODEMOGRAPHY AS A RISK FACTOR FOR ECLAMPSIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 59
Abstract
BACKGROUND Eclampsia is a preventable disease be prevented by making women aware of the avoidable risk factors during their antenatal visits and thereby decreasing the incidence of eclampsia and associated morbidity, mortality and perinatal outcome. Aim- To study the association of sociodemography as a risk factor for eclampsia. Objective- To compare the various parameters of sociodemographic risk factors (namely age, residence, education and socioeconomic status) between the eclamptic and the patients admitted for delivery with no complications. MATERIALS AND METHODS This was a case-control study done in the labour room of Nehru Chikitsalaya, BRD Medical College, Gorakhpur over a period of 1 year from July 2015 to June 2016 on 282 admitted women. This is a tertiary care hospital and its maternity service is a referral in the care of high risk pregnant women throughout the district. All women selected for the study were divided into two groups, cases and controls. Cases were the patients admitted to labour room with BP >140/90 mmHg, Urine Protein > + 1, with convulsions. Controls were the patients admitted to labour room with BP < 140/90 mmHg, Urine Protein negative, without convulsions. Their age, education, residence and socioeconomic status were compared and analysed. The X2 test was used to determine levels of statistical significance wherever appropriate. RESULTS Majority of the cases taken into the study were from less than 20 years of age group and 21-30 years of age i.e., 44.68% and 51.77% respectively. High proportion of eclampsias 68.08% belong to rural area, only 31.92% belong to urban area. Majority of eclampsia (89.36%) cases were associated with high rate of illiteracy (89.36%) as compared to controls (47.51%), belonging to rural area (68.08%) and low socioeconomic conditions. Maximum no. of eclamptic women were from low socioeconomic class i.e., 70.92% from class V, 26.24% from class IV, 1.41% from class III and II each and no women from class I according to Modified B G Prasad Socioeconomic Classification. In our study statistically significant association was observed between eclampsia and risk factors. CONCLUSION Eclampsia is a preventable disease by making the patient aware of the risk factors which can be avoided and thereby decreasing the incidence of eclampsia and associated morbidity and mortality.
Authors and Affiliations
Namrata Verma, Renu Mohan, Harish Chandra Tiwari, Babita Kapoor
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