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Indian Journal of Obstetrics and Gynecology Research


Maternal and Perinatal outcome of Eclampsia in a tertiary centre of Central India


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Author Details: Bharti Sahu, Shruti Singh Parihar, Sonal Sahani

Volume : 4

Issue : 3

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 225

Article End Page : 229


Abstract

Eclampsia, a life threatening and most common medical complication affecting pregnancy. We evaluated the association of clinical profile, maternal and perinatal outcome among eclamptic patients admitted to our tertiary centre. This is a prospective cross section observational study, undertaken in Department of Obstetrics and Gynecology, NSCB Medical College Jabalpur (M.P.), from March 2015 to March 2016.
Result: In the current study we came across 266 patients of eclampsia, incidence being 3.82%. Majority belonged to age <21 years (55.3%), primi (67.3%), 97.4% were unbooked, 90.6% resided in rural areas and 63.9% of the cases presented between 28 -37 weeks of gestation. Majority were (88%) antepartum eclampsia, 89.4% of patients delivered within 24 hours of admission, 76.4% had vaginal delivery. Most common complication was pulmonary edema in 29 patients and 83 patients required ventilatory support. We found 1 classical case of PRES syndrome and one of peripartum cardiomyopathy. Maternal mortality due to eclampsia was 25.2% and case fatality rate being 8.3%, perinatal death was 39.5% in eclampsia patients.
Conclusion: Eclampsia is an ongoing challenge for the whole medical community, the root of which lies in the soil of illiteracy, poverty and poorly implemented health care system.

Keywords:
Eclampsia, maternal morbidity and mortality, perinatal outcome

Doi No:-10.18231