Analytical study on maternal and fetal outcome of pre-eclampsia with severe features at tertiary care hospital

Sushmitha S. Chandrashekhara; Revathi Devaraj; Asha Maliyuru Basavaraju

doi:10.18203/2320-1770.ijrcog20241443

Authors

Sushmitha S. Chandrashekhara Department of Obstetrics and Gynaecology, Cheluvamba Hospital, MMCRI, Mysore, Karnataka, India
Revathi Devaraj Department of Obstetrics and Gynaecology, Cheluvamba Hospital, MMCRI, Mysore, Karnataka, India
Asha Maliyuru Basavaraju Department of Obstetrics and Gynaecology, Cheluvamba Hospital, MMCRI, Mysore, Karnataka, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20241443

Keywords:

PE with severe feature, Pritchard regimen, Primigravida, Mgso4

Abstract

Background: Pre-eclampsia is a multi-system, pregnancy specific disorder that is characterized by the development of hypertension and proteinuria after 20 weeks. Pre-eclampsia is the majority of referrals to tertiary care centre. It is one of the major causes of maternal and perinatal morbidity and mortality.

Methods: A retrospective analytical study done over a period of six months from January 1^st 2023 to June 30^th 2023. Pregnant women admitted with PE with severe features to Cheluvamba hospital, MMCRI, Mysore during the study were considered and analysed using the proforma. Data was entered into Microsoft excel data sheet and was analyzed. Categorical data was represented in the form of Frequencies and proportions

Results: Incidence of PE with severe features in our hospital was 3.4%. Majority (69%) were between 23-27 years of age and 52.7% were primigravida. Maternal complications were noted in 37.5% attributed to renal dysfunction, postpartum haemorrhage, DIC, placental abruption, HELLP, pulmonary oedema and postpartum eclampsia.

Conclusions: Maternal and perinatal complications are more in patients with severe pre-eclampsia. The incidence of severe pre-eclampsia can be reduced by early referral, better antenatal care, early recognition and treatment of pre-eclampsia

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