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


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.

Eclampsia, maternal morbidity and mortality, perinatal outcome