Maternal and Perinatal Outcome in Patient with Eclampsia Attending Isra University Hospital Hyderabad
OBJECTIVE: To determine maternal & perinatal outcomes in patient with Eclampsia.
MATERIAL & METHOD: This descriptive observational study was held at Obs & Gynae department at Isra University Hospital, Hyderabad. Study duration was two years from April 2016 to March 2017. Patients presenting with Antepartum and Intrapartum Eclampsia at Isra university hospital, Hyderabad were included in this study. Complete history including gestational age, booking status, parity, age, history of current pregnancy & antenatal checkups and treatment history was requested. It was also noted that they developed Eclampsia in antepartum or Intrapartum period. Clinical examination along with history of their mode of delivery either as intrapartum were done by spontaneous vaginal delivery. Maternal outcome was assessed in term of alive, morbidity and mortality. Fetal outcome assessed in term of Apgar score at birth & weight of babies. All the data was recorded on predesigned proforma.
RESULTS: Total 100 women were studied. Mean age of these subjects was 25-28 years. Majority of these subjects were primigravidas 72(72.0%) and were housewives 98(98.0%) Out of 100 patients 72(72.0%) were un-booked and only 28(28.0%) were booked. Most common gestational age group was 33-36 weeks 64(64.0%). 75(75.0%) of patients were found with Antepartum Eclampsia and 25(25.0%) were presented with Intrapartum Eclampsia. Majority of the women 68(68.0%) were delivered by Cesarean section and 30(30.0%) by vaginal delivery and instrumental vaginal delivery was required in 2(2.0%) women. Maternal outcome was good in 59(59.0%) without complications. Morbidity was observed 40.0% of the patients. Complications were observed in 40.0% followed by placental abruption 10(10.0%), renal impairment 8(8.0%), pulmonary edema 9(9.0%), blurring of vision 6(6.0%), help syndrome 5(5.0%), cardiac arrest 1(1.0%) and cardiomyopathy 1(1.0%). Only one woman died due to cardiac arrest died during the study period. Out of 100 patients perinatal outcome in 44(44.0%) babies was good; they were born with good apgar score. Intrauterine death was found in 20(20.0%) cases, 6(6.0%) cases were still born, while ENND was found in 30(30.0%) of the cases. 43(43.0%) babies were found with Apgar score of 5-7, 30(30.0%) were presented with <5 apgar score and 27(27.0%) neonates were found with apgar score of 8-10.
CONCLUSION: In this study it was concluded that Eclampsia is a most important risk to neonatal & maternal morbidity & mortality. The implementation of health policies is essential to give better antenatal care with further orientation regarding significance of early detections of cases with raised blood pressure in the course of pregnancy to prevent complications.
KEY WORDS: Eclampsia, maternal outcome, fetal outcome
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