Maternal Outcome with and without Caesarean Section in Eclampsia
Background: Eclampsia is a serious obstetrical complication especially in developing countries. Eclampsia is the occurrence of fits in pregnancy without any cerebral disorders after 24 weeks of pregnancy.
Objectives: The aim of this study was to enlist the maternal benefits and complications in eclamptic patients in immediate caesarean sections versus delivery after induction of labour.
Methodology: It was an analytic study was carried out Lady Aitchison Hospital, Lahore during 6 months from June 2014 November 2014. Obstetric patients with established eclampsia, gestational age more than 28 weeks and fetus alive on admission were included in this study. Total 60 patients were selected in the study and all the patients divided into 2 groups Group-A; Patients who deliver by immediate LSCS. Group-B: Patients who deliver after induction of labour. Maternal outcome in the term of complications and mortality was compared in both groups.
Results: In group A 30 patients were delivered by cesarean section without induction and in group B 30 patients were induced and out of them 12 were delivered by spontaneous vertex delivery. Fourteen had to deliver by cesarean section due to indications including fetal distress, uncontrolled fits and failed induction and 4 had instrumental delivery. Recurrence of fits in group A occurred in 7(23.3%) patients, while recurrence fits in group B occurred in 15(50%) patients and on further distribution recurrences fits were significantly associated with antepartum as compare to intra-partum and postpartum period p-value 0.001. Complications and mortality rate was significantly more in group B as compare to Group A, while UTI was equally found in both groups.
Conclusion: Eclampsia is the life threatening complication, however an improvement in hospital care and early delivery by cesarean section can improve maternal and perinatal outcome.