DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20221293

Study of fetomaternal outcome in eclampsia

Amita Budhewar, Sunita Ubale, Mamta Anand, Priti Naykodi, Jaynarayan Senapati

Abstract


Background: Eclampsia is preventable and treatable cause of maternal mortality and morbidity with poor fetomaternal outcomes in developing countries. Poor knowledge, lack of education, malnutrition and lack of antenatal care major causative factors for increase in eclampsia in developing countries.

Methods: This was a retrospective single center observational study including 106 pregnant women with eclampsia in antenatal, intranatal and postnatal period over period of one year in our institute.

Results: 106 women included in this study. In present study mean age of the study population was 25.41 years. 1 maternal death reported during study period. Antepartum eclampsia was commonest type 78%. Most of the patients were referred. In this study LSCS most common mode of deliveries. Perinatal mortality rate was 152/1000 live birth.

Conclusions: Eclampsia is important cause of maternal and Fetal mortality and morbidity. Prevention of eclampsia is not possible, whereas early diagnosis can be done through clinical signs and symptoms, so as to prevent complications leading to mortality and morbidity related to eclampsia. Improvement in antenatal care services quality, increasing patient awareness about warning symptoms, investigations timely delivery, intensive monitoring in intrapartum and postpartum period have potential to improve fetomaternal outcomes.

 


Keywords


Eclampsia, Fetomaternal outcome, Maternal mortality

Full Text:

PDF

References


Chesley LC. Ashort history of eclampsia. Obstet Gynecol. 1974; 43:500-602.

Khushk IA, Qazi RA. Maternal mortality: A priority issue in reproductive health. J Coll Physicians Surg Pakistan. 2006;2:48-9.

Mahran A, Fares H, Elkhateeb R, Ibrahim M, Bahaa H, Sanad A et al. Risk factors and outcome of patients with eclampsia at a tertiary hospital in Egypt. BMC pregnancy and childbirth. 2017;17(1):1-7.

Ghulmiyyah L, Sibai B. Maternal mortality from preeclampsia/eclampsia. InSeminars in perinatol. 2012;36(1):56-9.

Lo JO, Mission JF, Caughey AB. Hypertensive disease of pregnancy and maternal mortality. Cur Opin Obst Gynecol. 2013;25(2):124-32.

Dahiya K, Rathod M, Rohilla S, Dahiya P. Correlation between neuroimaging and clinical presentation in eclampsia. Int J Obstet Gynaecol Res. 2016;3(6):375-84.

Agarwal M, Gautam A. Study of fetomaternal outcome in eclampsia. Int J Reprod, Contracept, Obst Gynecol. 2020;9(10):4155-60.

Eswari S. Study on Correlation between Neuroimaging and Neurological Presentation in Antepartum and Postpartum Eclampsia and Its Maternal Outcomes (Doctoral dissertation, Government Mohan Kumaramangalam Medical College, Salem).

Kannar A, Patel M, Prajapati S, Chavda D. A retrospective study of 100 cases of Eclampsia: perinatal outcomes. Int J Reprod Contracept Obstet Gynecol. 2016;5:3898-901.

Mahale RS, Gadappa SN. Study of maternal and fetal outcome in eclampsia at Government Medical college, Aurangabad, Maharashtra, India. Int J Reprod, Contracept, Obst Gynecol. 2019;8(3):932-41.

Majhi AK, Chakraborty PS, Mukhopadhyay A. Eclampsia–Present scenario in a referral medical college hospital. J Obstet Gynecol Ind. 2001;51(3):143-7.

Jadav PK. Fetomaternal Outcome in Pregnancy with Eclampsia in Tertiary Care Hospital. J Med Sci Clin Res. 2015;3(7):6630-5.

Efetie ER, Okafor UV. Maternal outcome in eclamptic patients in abuja, nigeria a 5 year review. Nig J Clin Pract. 2007;10(4):309-13.

Gaddi SS. Somegowda. Maternal and perinatal outcome in eclampsia in a district hospital. J Obst Gyn Ind. 2007;57(4):324-26.

Pritchard JA, Cunningham FG, Pritchard SA. The Parkland Memorial Hospital protocol for treatment of eclampsia: evaluation of 245 cases. Am J Obst Gynecol. 1984;148(7):951-63.

Sardesai S, Dabade R, Deshmukh S, Patil P, Pawar S, Patil A. Posterior reversible encephalopathy syndrome (PRES): evolving the mystery of eclampsia!. J Obst Gynecol Ind. 2019;69(4):334-8.

Singhal SR, Anshu D, Nanda S. Maternal and Preinantal outcome in severe Pre-Eclampsia and Eclampsia. South Asian Federation of Obstet Gynecol. 2009;1(3):25-8.