Sociodemographic profiling and study of maternal and perinatal outcome in patients suffering from eclampsia
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20161680Keywords:
Eclampsia, Caesarean section, Maternal outcome, Perinatal outcomeAbstract
Background: Eclampsia is defined as the occurrence of convulsions, not caused by any coincidental neurological disease such as Epilepsy, in a woman whose condition also meets the criteria for preeclampsia. The incidence is about 1:1600 pregnancies. Eclampsia is an acute obstetric emergency and quick treatment and timely decision making is required to get the best maternal and fetal outcome. The aim and objectives of the study was to socio demographic profile of the patients admitted with eclampsia and maternal and perinatal outcome in patients with eclampsia.
Methods: It was a record based retrospective study. The hospital files of patients admitted for the treatment of eclampsia during Oct 2012 to Dec 2013 were retrieved and were extensively studied. The data was entered in Microsoft excel and data base was created, appropriate statistical tests were applied and results were studied.
Results: It was found that majority of patients (74%) belonged to age group of 21-30 years, were un booked (96%) and 65% belonged to rural areas. Sixty five percent (65%) of patients were admitted at less than 37 weeks of the gestational age and 67% of patients were primigravida. Majority of them had history of being normotensive. Majority of patients (62%) were delivered by Caesarean section. Maternal mortality was found in six percent of the patients.
Conclusions: Eclampsia is a frightening complication of pregnancy. It is life threatening to mother and fetus, however early treatment and delivery improves maternal and perinatal outcome.
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References
Chhabra S, Kakani A. Maternal mortality due to eclamptic and non-eclamptic hypertensive disorders: a challenge. J Obstet Gynaecol. 2007;27(1):25-9.
Urassa DP, Carlstedt A, Nystrom L, Massawe SN, Lindmark G. Eclampsia in Dar es Salaam, Tanzania -- incidence, outcome, and the role of antenatal care. Acta Obstet Gynecol Scand. 2006;85(5):571-8.
Obed S, Aniteye P. Pregnancy following eclampsia: a longitudinal study at Korle-BU teaching hospital. Ghana Medical Journal. 2007;20:139-43.
Urassa D, Carlstedt A, Nystrom L, Msamanga G. Management of hypertension in pregnancy as a quality indicator of antenatal care in rural Tanzania. Afr J Reproductive Health. 2003;7:69-76.
Swain S, Ojha KN, Prakash A. Maternal and perinatal mortality due to eclampsia. Indian Pediatr. 1993;30(6):771-3.
Case-Control Study of Risk Factors for Complicated Eclampsia. Obstetrics and Gynecology. 1997;90(2).
Sibai BM. Eclampsia. VI. Maternal-perinatal outcome in 254 consecutive cases. Am J Obstet Gynecol. 1990;163(3):1049-54.
Knight M. Eclampsia in the United kingdom 2005. BJOG. 2007;114(9):1072-8.
Onuh SO, Aisien AO. Maternal and foetal outcome in eclamptic patients in Benin CITY, Nigeria. J Obstet Gynaecol. 2004;24(7):765-8.
Lee W, O’ Connell CM, Basket TF. Maternal and perinatal outcomes of eclampsia: Nova Scotia, 1981-2000. J Obstet Gynecol Can. 2004;26(2):119-23.
Alan H, Nathan L, Murphy T, Laufer N. Hypertension in pregnancy. Current diagnosis and treatment in Obstetric and Gynaecology. 10 ed: McGraw-Hill 2007.
Cunningham F, Kenneth J, Bloom S, Hauth J, Larry C, Wenstrom K. Hypertensive disorders in pregnancy. Williams Obstetrics. 22 ed: McGraw-Hill 2007.
Barton JR, Sibai BM. Prediction and prevention of recurrent preeclampsia. Obstet Gynecol. 2008;112(2 Pt 1):359-72.
Sibai BM. Hypertensive disorders of pregnancy: the United States perspective. Curr Opin Obstet Gynecol. 2008;20(2):102-6.
Sibai BM, Stella CL. Diagnosis and management of atypical preeclampsia-eclampsia. Am J Obstet Gynecol. 2009;200(5):481 e1-7.
Acharya G, Schultz S. Eclampsia in Patan Hospital: A two year retrospective study. JNMA. 1991;29:254-8.
Sharda Jain, Sadhana Nager and DeepikaMonga: Maternal mortality following Eclampsia a critical analysis of 693 cases in two teaching hospitals in Northern India. The Journal of Obst Gynae of India. 1988;38:256-60.
Douglas LA. Redman CWG: Eclampsia in the United Kingdom. British Medical Journal. 1994;309:1395-400.
Dhananjay BS, Dayananda G, Sendilkumaran D, Murthy N. A Study of factors Affecting Perinatal Mortality in Eclampsia. JPBS. 2009;22(2):2-5.
Alam IP, Akhter S. Perinatal Outcome of Eclampsia in Dhaka Medical College Hospital, Dhaka. Bangladesh J Obstet Gynaecol. 2008;23(1):20-4.
Arora R, Ganguli RP, Swain S, Oumachigai A, Rajaram P. Detrminants of maternal mortality in Eclampsia in India. Aust NZ J Ob Gyn. 1994;34:5:537.
Innocent O. George, Israel Jeremiah. Perinatal Outcome of Babies Delivered to Eclamptic Mothers: A Prospective Study from a Nigerian Tertiary Hospital. International Journal of Biomedical Science. 2009;5(4):390-4.
Onwuhafua PI, Oguntayo A. Perinatal mortality associated with eclampsia in Kaduna, Northern Nigeria. Niger J Med. 2006;15(4):397-400.
Kamilya G, Barracharrya SK, Mukherji J. Changing trends in the management of eclampsia from a teaching hospital. J Indian Medical Association. 2005;103(3):132, 134-35.