A Study of Maternal Deaths from Pre Eclampsia and Eclampsia in a Tertiary Care Centre
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
Background: Pre eclampsia and eclampsia is one of the leading cause of maternal morbidity and mortality worldwide. Eclampsia though still remains an obstetric enigma and is a major problem in developing countries. Predicting the onset of these complications could aid in timely intervention such as increased surveillance, treatment of symptoms, transfer to higher care facility and delivery when necessary which could reduce morbidity and mortality from the hypertensive disorders of pregnancy. AIM: The aim of this study is to calculate the total number of women admitted with hypertensive disorders of pregnancy and eclampsia in the labour room and their case fatality rate and to calculate the number of mothers who died from pre eclampsia and eclampsia and to analyse all the maternal deaths due to hypertensive disorders of pregnancy in order to identify the root causes of substandard care leading to maternal deaths. MATERIALS AND METHODS: This study was carried out at GMKMCH ,Salem for a period of 2 years from January 2016- December 2017. All the mothers who died from severe pre eclampsia and eclampsia were included in this study and they were all analysed. RESULT: In 2 years study period, there were 1551 women admitted with hypertensive disorders of pregnancy and 341 women admitted with eclampsia giving a prevalence rate of 9.28% and 2.04% respectively. Case fatality rate of Hypertensive disorders of pregnancy was 1.61 %. During the study period , there were total 84 maternal Deaths. Out of 84 maternal deaths , 25 were due to severe pre eclampsia and eclampsia making it the leading cause of maternal mortality in our institute. CONCLUSION: Pre eclampsia and eclampsia is one of the leading causes of maternal mortality and morbidity. Though the incidence of pre eclampsia and eclampsia is on the decline, still it remains the main contributor to poor maternal and fetal outcome, Regular antenatal checkups, early diagnosis, use of anti-hypertensive drugs, optimal timing of delivery and strict fluid balance, anti -convulsants in case of eclampsia will help to achieve successful outcome.
Authors and Affiliations
Dr. G. Sridevi MD DGO, Dr. L. Shanmugavadivu M. D
Keywords
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- EP ID EP434294
- DOI 10.9790/0853-1801073941.
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