Title: Maternal and perinatal outcome in severe preeclampsia and eclampsia
Authors: Dr Rajni Priyanka, Dr Chitra Sinha
DOI: https://dx.doi.org/10.18535/jmscr/v8i6.45
Abstract
Background: Preeclampsia and eclampsia is one of the leading causes of maternal and perinatal morbidity and mortality. It is an acute life endangering complication of pregnancy.
Aim: The objective of the present study was to study the maternal and fetal outcome in patients with severe preeclampsia and eclampsia in a tertiary care centre.
Study Design: Prospective Study
Study Period: From January 2019 to December 2019 over a period of one year.
Material and Method: Total 140 women with severe preeclampsia and eclampsia were included in the study according to the inclusion and exclusion criteria, who were admitted in obstetric emergency unit of Patna medical college hospital over a period of one year.
Results: In present study 77.85% cases were unbooked and referred to this centre. Out of 140, 91 patients (65%) are between 20–30 year of age group. Majority of patients 75 (53.57%) were primigravida. Majority of patient were preterm 96(68.57%). Out of 140 patients, 87 (62.14%) patients were referred for convulsions and 45.71% with high blood pressure. Cesarean section was done in 49.28% patient for failed induction (46.3%) or fetal distress (24.7%).vaginal delivery occured in 38.57%. The mean delivery was 6.8 hours. Maternal complications included PPH in 51, abruption placenta in 11 and DIC in 19. Out of 140 cases, 106 were live birth, 24 intrauterine deaths, and 12 still births. Low birth weight babies were 47.85% and NICU admission required in 59.28% cases. There were 10(7.14%) cases of maternal death. perinatal loss was 34.28%.
Conclusion: A Proper antenatal care, early intervention and prompt treatment is required to reduce maternal and perinatal outcome in patients with severe preeclampsia and eclampsia.
Keywords: obstetric outcome, eclampsia, severe preeclampsia, maternal morbidity, perinatal morbidity
References
- Say L, Chou D, Gemmill A, Tuncalp O, Moller AB, Daniels J et al.Global causes of maternal death: a WHO systemic analysis. Lancet Glob Health.2014;2 :e323-33.
- Knight HE, Self A, Kennedy SH. Why are women dying when they reach hospital on time? A systematic review of the” Third Delay “PLoS One 2013 ;8:e63846.
- Arora R, Ganguli RP, Swain S , Oumachigui A, Rajaram P . Determinants of maternal mortality in eclampsia in India.Aust N Z J Obstet Gynecol . 1994 ; 34 : 537-9 .
- Roberts JM. Endothelial dysfunction in preeclampsia. Semin Reprod Endocrinol. 1998;16:5-15.
- Sibai BM. Diagnosis, prevention, and management of eclampsia.Obstet Gynecol. 2005;105(2):402-10 .
- Alvarez Navascues R, Marin R. Severe maternal complications associated with pre-eclampsia: an almost forgotten pathology? Nefrologia.2001;21(6):565-73.
- Singhal S, Deepika, Anshu, Nanda S.Maternal and perinatal outcome in severe pre-eclampsia and eclampsia. South Asian Federation of Obstetrics and Gynecology .2009; 1(3): 25-8.
- Shaikh S,Ruby AJ, Piotrowski M.Pre eclampsia related chorioretinopathy with Purtscher ,s like findings and macular ischemia Retina 2003 :23:247-50.
- Sibai BM .Eclampsia vi .Maternal perinatal outcome in 254 consecutive cases.Am j Obstet Gynecol 1990:163: 1049-55.
- Al Inizi ST, Sharma H,Ahmed B. Eclampsia in Qutar .Maternal and fetal outcome and possible preventive measures. Middle East J Emerg Med 2005:5:1-9.