Clinical study of maternal complications associated with eclampsia

Authors

  • Bhanu B. T. Department of Obstetrics and Gynecology, Bangalore Medical College and Research Institute Bangalore, Karnataka, India
  • Amudha S. Department of Obstetrics and Gynecology, Bangalore Medical College and Research Institute Bangalore, Karnataka, India
  • . Sarojini Department of Obstetrics and Gynecology, Bangalore Medical College and Research Institute Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20171946

Keywords:

Acute kidney injury, ECLAMPSIA, HELLP, Maternal complications, Pulmonary edema

Abstract

Background: Eclampsia is still one of the leading causes of maternal mortality and morbidity in developing countries. Though the incidence in developed nations has drastically reduced, it has remained the same over years in India, mainly due to lack of awareness, poor socio-economic status and inadequate ante natal check-ups. The objective of this study was to determine the presentation, demographic features, risk factors, management, maternal mortality and morbidity, in women presenting with eclampsia.

Methods: This study was conducted in Vanivilas hospital from January to December 2014 for 12 months. Total 230 women with eclampsia were studied with respect to their age, parity, socio economic status, gestational age, details of previous antenatal check-ups, clinical features at presentation, nature and number of convulsions, treatment received before admission, management in the institution and maternal morbidity and mortality.

Results: The incidence of Eclampsia was 1.4%. 30% were below 20 years of age, 45% were primigravidas, 97% were referred cases with inadequate antenatal checkups. 68% had antepartum eclampsia, 22% had intrapartum eclampsia and 10% had postpartum eclampsia. 24% had instrumental delivery, 24% underwent caesarean delivery. There were 17.4% ICU admissions, 5.7% acute kidney injury cases and 13 maternal deaths.

Conclusions: Eclampsia still remains a major cause of maternal morbidity and mortality in india. Information about danger signs of pre-eclampsia/ eclampsia should be made available to antenatal clients. Importance of timely referral to the tertiary center should be emphasised to the peripheral health workers.

Author Biography

Bhanu B. T., Department of Obstetrics and Gynecology, Bangalore Medical College and Research Institute Bangalore, Karnataka, India

 

 

References

Cunnigham, Leveno, Bloom, Hauth, Rouse, Spong. Pregnancy hypertension. Williams Obstetrics, 23rd ed. Mc Graw Hill; 2010:706-56.

Matter F, Sibai BM, Eclampsia: VIII. Risk factors for maternal morbidity. Am J Obstet Gynecol. 2000;182:307.

Cunningham FG, Fernandez CO, Hernandez C. Blindness associated with preeclampsia and eclampsia. Am J Obstet Gynecol. 1995;172:1291.

Lara Torre E, Lee MS, Wolf MA, Shah DM. Bilateral retina l occlusion progressing to long standing blindness in severe preeclampsia. Obstet Gynecol. 2002;100(5 Pt 1):940-2.

Moseman CP, Shelton S. Permanent blindness as a complication of pregnancy induced hypertension. Obstet Gynecol. 2002;100:943.

Ajah LO, Ozonu NC, Ezeonu PO, Lawani LO, Obuna JA, Onwe EO. The feto-maternal outcome of preeclampsia with severe features and eclampsia in Abakaliki, South-East Nigeria. J Clin Diagn Res. 2016;10(9):QC18-QC21.

Ghimire S. Eclampsia: feto-maternal outcomes in a tertiary care centre in Eastern Nepal. J Nepal Med Assoc. 2016;54(201):24-8.

Agida ET, Adeka BI, Jibril KA. Pregnancy outcome in eclamptics at the University of Abuja Teaching Hospital, Gwagwalada, Abuja: a 3 year review. Niger J Clin Pract. 2010;13(4):394-8.

Chama CM, Geidam AD, Bako B, Mairiga AG, Atterwahmie A. A shortened versus standard matched postpartum magnesium sulphate regimen in the treatment of eclampsia: a randomised controlled trial. Afr J Reprod Health. 2013;17(3):131-6.

Regmi MC, Aggrawal A, Pradhan T, Rijal P, Subedi A, Uprety D. Loading dose versus standard regimen of magnesium sulphate in eclampsia: a randomized trial. Nepal Med Coll J. 2010;12(4):244-7.

Minire A, Mirton M, Imri V, Lauren M, Aferdita M. Maternal complications of preeclampsia. Med Arch. 2013;67(5):339-41.

Nankali A, Malek-khosravi SH, Zangeneh M, Rezaei M, Hemati Z, Kohzadi M. Maternal complications associated with severe preeclampsia. J Obstet Gynaecol India. 2013;63(2):112-5.

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Published

2017-04-27

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Original Research Articles