Study of fetomaternal outcome in pre-eclampsia at tertiary care centres, South Gujarat
Keywords:Fetomaternal outcome, Pre-eclampsia
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.
Govt. of India [sample registration system] maternal mortality in India, 1997-2003. Trends, causes and risk factors. Register General of India, New Delhi in Collaboration with Centre for Global Health Research, Toronto, 2006. Available at: https://www.cghr.org/wordpress/wp-content/uploads/RGI-CGHR-Maternal-Mortality-in-India-1997%e2%80%932003.pdf. Accessed DD MMM YYYY.
Mackay AP, Berg CJ, Atrash HK Pregnancy-related mortality from preeclampsia and eclampsia. Obstet Gynecol. 2001;97:533-8.
ACOG Committee on Obstetric Practice. Practice bulletin# 33: diagnosis and management of preeclampsia and eclampsia. Obstet Gynecol. 2002;99(1):159-67.
Nouwen E, Snijder M, van Montfrans G, Wolf H. validation of the Omron M7 and Microlife 3BTO-A blood pressure measuring devices in pre-eclmapsia. Hypertens Pregn. 2012;31;131-9.
Eiland E, Nzerue C, Faulkner M. Preeclampsia 2012. J Pregn. 2012;2012.
Al-Jameil N, Khan A, Khan FF, Tabassum H. A brief overview of pre-eclampsia. J Clin Med Res. 2014;6(11):7.
Saxena N, Bava AM, Nandanwar Y. Maternal and perinatal outcome in severe preeclampsia and eclampsia. Int J Reprod Contracept Obstet Gynecol. 2016;5(7):2171-6.
Neelema B. the study of maternal and perinatal outcome in pre-eclampsia in tertiary care hospital. Int J Reprod Contracept Obstet Gynecol. 2019;8::285-28.
Kumavat AK, Shaheen R, Bhati I. Pre-eclampsia-A pattern of fetomaternal outcome in western Rajasthan: retrospective Analysis. E Journal. 2020:35-40.
Pillai SS. Fetomaternal outcome in severe pre-eclampsia and eclampsia. Obstet Gynecol. 2017:6(9):3937-41.
Patel AJ. Int J Reprod CSontracept Obstet Gynecol. 2021;10:1011-6.