Study of fetomaternal outcome in pre-eclampsia at tertiary care centres, South Gujarat

Authors

  • Jigisha U. Chauhan Department of Obstetrics and Gynecology, SMIMER Hospital and Medical College, Surat, Gujarat, India
  • Shraddha S. Agarwal Department of Obstetrics and Gynecology, SMIMER Hospital and Medical College, Surat, Gujarat, India
  • Mahak P. Jain Department of Obstetrics and Gynecology, SMIMER Hospital and Medical College, Surat, Gujarat, India
  • Sejal M. Patel Department of Obstetrics and Gynecology, SMIMER Hospital and Medical College, Surat, Gujarat, India
  • Katha T. Contractor Department of Obstetrics and Gynecology, SMIMER Hospital and Medical College, Surat, Gujarat, India
  • Jahanavi A. Vaidya Department of Obstetrics and Gynecology, SMIMER Hospital and Medical College, Surat, Gujarat, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20231558

Keywords:

Fetomaternal outcome, Pre-eclampsia

Abstract

Background: Hypertensive disorders are among the most common medical disorder during pregnancy and continue to be a serious challenge in obstetric practice. It affects about 7-15% of all gestations. In India it accounts for the third most important cause of maternal mortality. Aim if this study was to study the prevalence of pre-eclampsia and feto-maternal outcome in cases of pre-eclampsia.

Methods: This was a descriptive observational study conducted over a period from February 2019 to July 2021. This study enrolled 106 cases of pre-eclampsia, cases were selected by inclusion and exclusion criteria, data were entered and analysed by using SPSS version 20.

Results: A total of 106 patients were analysed. It was observed that it was more common in age group of 26 to 30 years 51%, 56% were unbooked patients. Maximum number of patients were primigravida 60%, 96% patients were from lower socioeconomic class, 37% patients had normal vaginal delivery, 63% had caesarean delivery. The most common maternal complication was eclampsia (12%), HELLP Syndrome 12%, abruptio occurred in 8% of patients. Maternal mortality occurred in 4 cases. Out of 106 babies 37 (34.93%) babies had normal outcome while 29% (27.35%) had low birth weight, 16 (15.09%) babies were IUGR, 15 (14.5%) babies were IUFD, 7 (6.6%) babies had RDS and 2 (1.8%) babies were stillbirth 40 (44.94%) babies were admitted in NICU.

Conclusions: This study concludes that foetal and maternal outcome were markedly affected by pre-eclampsia and also the grave complications were more common in pre-eclampsia. So proper antenatal care, early diagnosis of pre-eclampsia and timely intervention will decrease maternal perinatal morbidity and mortality.

References

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Published

2023-05-26

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Original Research Articles