Maternal And Perinatal Outcome in Eclampsia in Siddhartha Medical College, Govt. General Hospital, Vijayawada, Andhra Pradesh
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 3
Abstract
Objectives: To assess maternal and perinatal outcome in patients presenting with eclampsia. Methods and Material: This is a prospective study done at Siddhartha Medical College, Government General Hospital, Vijayawada from April 2015 to March 2016. In all patients with eclampsia, maternal outcome was measured in terms of complications like pulmonary edema, hematological disorders, renal failure, cerebral haemorrhage and maternal death. Perinatal outcome was noted in terms of pre-term births, IUGR still births, NICU admissions. Result: In 6880 deliveries in our hospital, 74 cases were diagnosed as eclampsia, giving an incidence of 10.7 per 1000 deliveries. There were two maternal deaths, giving a case fatality rate of 2.7%.Eclampsia was commonest among the age group of 18-23 years. Primi Gravidae constituted 78.3% of the cases. Majority of patients (81.08%) were unbooked. Antepartum eclampsia was seen in 67.5% of the cases more than Intrapartum (10.8%) and postpartum (21.6%). Forty-two patients had severe hypertension on admission diastolic BP >110 mmHg. Thirty-two patients had mild hypertension diastolic BP (90 to <110 mmHg). Forty (54%) were delivered through caesarean section, twenty-five (33.3%) had normal vaginal delivery and nine (12%) had assisted vaginal delivery. Maternal complications include 3 cases of acute renal failure, 3 cases of HELLP syndrome, 2 cases of pulmonary edema, 2 cases of coagulation failure, 6 cases of abruption, 1 case of cortical blindness and 1 case of cerebral venous sinus thrombosis. Sixty-two babies were delivered live while twelve still births were recorded. Sixteen babies (21.6%) had low birth weight and twenty-two babies (29.7%) had normal birth weight. Conclusion: Eclampsia still remains a major cause of maternal morbidity and mortality. More awareness and enabling factors should be created for more women to access antenatal facilities. Information about danger signs of pre-eclampsia/eclampsia should be made available to antenatal cases.
Authors and Affiliations
Dr. G. Chandrakala MS, Dr. M. Tripurasundari MD
Keywords
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