Published: 2017-07-26

Eclampsia: a retrospective study in a tertiary care centre

Mohana Dhanapal, Subha Sivagami Sengodan, Praveena Murugesan


Background: This study was done to analyse the maternal mortality, morbidity and fetal outcome in eclampsia complicating pregnancy.

Methods: This study was conducted in Government Mohan Kumaramangalam Medical College and Hospital, Salem. It was a retrospective study from May 2016 to May 2017.

Results: Majority were referral 82.8%. 78.8% were in the age group of 20-30 years. Primi gravida was the commonest sufferer. In our study 67.02% had antepartum eclampsia and 31.2% had postpartum eclampsia. Only 1.8% patients had intrapartum eclampsia. While taking gestational age majority were preterm. Regarding mode of delivery 61.3% were delivered by LSCS. 29.2% of patients had pulmonary edema which was the commonest complication followed by Hellp syndrome (17.7%), Acute renal failure (10.6%), Cardiovascular accident (8.8%). There were 9 maternal deaths due to eclampsia (8.3%). Preterm delivery and Low birth weight were higher in eclamptic patients. Preterm birth occurred in 67.17% of patients. Intrauterine death occurred in 8 patients. Still birth occurred in 10.6% of patients.

Conclusions: High maternal morbidity and mortality has been attributed to the late referral, delay in the timely management of preeclampsia. So coordinated efforts of medical and paramedical staffs and health education is needed to fight against eclampsia.


Eclampsia, Hellp syndrome, Pulmonary edema

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