MATERNAL AND PERINATAL OUTCOME IN ECLAMPSIA IN A TERTIARY CARE CENTRE

CORRESPONDING AUTHOR:
Dr. Bharti Choudhary (Parihar),
115/5, OPD Block,
 Sultania Zanana Hospital Campus,
Bhopal, Madhya Pradesh- 462001.
E-mail: drbhartiparihar@gmail.com

KEY WORDS: Eclampsia, Perinatal outcome, Maternal Mortality, Magnesium Sulphate
ABSTRACT: BACKGROUND: Eclampsia is a life threatening emergency that continues to be a major cause of serious maternal morbidity and is still the leading cause of maternal mortality worldwide. OBJECTIVE: Analysis of all cases of Eclampsia patients to find out the incidence, to evaluate the clinical course, medical & obstetric management, and complications and to study the maternal &perinatal outcome. METHODS: This study was a hospital based prospective observational study. We obtained the data for this study from the case records of all Eclampsia patients who admitted in the Department of Obstetrics & Gynaecology, Gandhi Medical College, Bhopal from 01.01.2011 to 31.12.2011 and data were recorded on a predesigned proforma. All the obstetrical women with convulsions after 20 weeks pregnancy or in postpartum period were evaluated. Each case was documented with respect to age, socioeconomic status, education, occupation, gestational age, time of onset of Eclampsia, duration and frequency of seizures, mode of delivery, use of drugs (anticonvulsant and antihypertensive), maternal and perinatal outcome RESULTS: Out of total 203 Eclampsia patients, 144 cases(70.93%) were Antepartum Eclampsia, 22 patients (10.84%) were intrapartum Eclampsia, 35 cases (17.24%) were postpartum Eclampsia & 2 cases (0.9%) were status Eclampticus.30% Patients did not have oedema,14% had BP<140/90 mm of Hg and 11.4% did not have proteinuria at the time of admission. There were 21 maternal deaths and morbidity consisted of pulmonary oedema in 31(33.6%) cases, CVA in 17(18.4%) cases, renal failure in 7(7.6%) cases, HELLP syndrome in 6(6.5%) cases and aspiration pneumonia in 2(2.2%) cases. Perinatal mortality was 44.3% with majority being related to extreme prematurity. CONCLUSIONS: There is a need of proper antenatal care to prevent Eclampsia and the need for intensive monitoring of women with Eclampsia throughout the hospitalization to improve both the maternal & perinatal outcome