Indian Journal of Obstetrics and Gynecology Research


Maternal and perinatal outcome of eclampsia in SDM Medical College Department of Obstetrics and Gynaecology- a 5 years retrospective study


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Author Details: Rita D. Vijaychandra Doggalli, Dhanalaxmi Vishwanath Lotlikar

Volume : 4

Issue : 2

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 198

Article End Page : 202


Abstract

Background: A 5 year retrospective study is carried out in the SDM College of Medical Science and Hospital from 2011 to 2015 to determine the factors influencing the fetal and maternal outcome. The purpose of the study is to analyses the role of eclampsia on maternal and neonatal health and the complications associated with eclampsia.
Method: The present study is a 5 year retrospective study from 2011 to 2015 in a 104 eclamptic patients above 28 week of gestational age. The data was collected from the medical records of the patients with eclampsia and the incidence of antepartum, intrapartum and postpartum eclampsia and its influence on maternal complications like anaemia, renal complications, CNS complications, ocular complications, disseminated intravascular coagulation, abruption, HELLP syndrome, pulmonary oedema, SICU admission, maternal deaths and perinatal morbidity and mortality were analysed. The benefits of medical management with Magnesium sulphate also studied.
Results: The study showed that the incidence of eclampsia in 5 year is 0.45%, out of which the percentage of antepartum eclampsia being maximum 71.15%. These mothers with eclampsia had life threatening complications like anaemia (32.6%), renal complications like renal failure (7.6%), CNS complications in the form of cerebral hemorrhage (6.7%), ocular complications (3.8%) which included retinal detachments, macular oedema, disseminated intravascular coagulation (4.8%), abruption (4.8%), HELLP syndrome (9.6%), pulmonary oedema (2.8%), SICU admission (14.4), maternal deaths (3.8%). The perinatal outcomes studied with the maximum preterm labours(45.1%), intrauterine deaths (17.6%) early neonatal deaths (12.3%) whereas the overall full term vaginal deliveries and LSCS were 20.1% and 33.65% respectively.
Conclusion: Eclampsia has a greater threat of the maternal and perinatal heath. The early referral to tertiary centre, transport facility, use of Magnesium sulphate has decreased the severity. . Early detection and intensive management is essential for improving the maternal and fetal outcome.

Keywords:
Eclampsia, Maternal mortality, Perinatal outcome, Tertiary centre

Doi No:-10.18231