DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20173493

Eclampsia: a retrospective study in a tertiary care centre

Mohana Dhanapal, Subha Sivagami Sengodan, Praveena Murugesan

Abstract


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.


Keywords


Eclampsia, Hellp syndrome, Pulmonary edema

Full Text:

PDF

References


Ross MG, Meyer BA, Telavera F, Ramus RM. Eclampsia Overview. Medscape 253960. 2011:1-13.

Gracia VD. Maternal deaths due to eclampsia and HELLP syndrome. Internat J Gynecol Obstetrs. 2009;104(2):90-4.

Kaur K, Shrivastav RD, Rahatgaonkar V, Bhosale UT. Study of fetal and maternal outcome in eclampsia. Int J Recent Trends Sci Technol. 2014;11:42.

Das R, Biswas S. Eclapmsia: the major cause of maternal mortality in eastern india. Ethiopian J Health Sci. 2015;25(2):111-6.

Swain S, Singh S, Das L, Sahoo B. Maternal and perinatal outcome of eclampsia in a tertiary care centre. Internat J Reproduct Contracept Obstet Gynecol. 2016;5(2):384-90.

Doley R, Pegu B, Hazarika D. Clinical study of eclampsia in a tertiary care hospital. Ind J Sci Technol. 2016;9(29).

Kaur P. A clinical study in eclampsia on a referral hospital. J South Asian Feder Obstet Gynecol. 2012;4(2):113-5.

Vinaya G, Ahamed SR, Gururaj NG. Incidence of eclampsia and clinical profile: a prospective study. Ind J Sci Res. 2015;6(2):71.

Bhalerao A, Kulkarni S, Ghike S, Kawthalkar A, Joshi S, Somalwar S. Eclampsia: maternal and fetal outcome. JSAFOG. 2013;5(1):19-21.

Chames MC, Livingston JC, Ivester TS, Barton JR, Sibai BM. Late postpartum eclampsia: a preventable disease?. Americ J Obstet Gynecol. 2002;186(6):1174-7.

Singh BM, Mishra R. Hypertensivedisorders. Mishra R Editor. Ian Donald’s practical obstetric problem. Seventh Edition. BI Publications Pvt Ltd: New Delhi; 2014:142-75.

Raji C, Poovathi M, Nithya D. Prospective study of fetomaternal outcome in eclampsia in a tertiary care hospital. International J Reproduct Contracept Obstetr Gynecol. 2016;5(12):4329-34.

Praveenkumar AM, Patil R, Pachpande V. Maternal and Fetal Outcome in Eclampsia. Annals Internat Medic Dent Res. 2017;3(2):OG01-OG06.

Kumari S, Bhavani, Himabindu P, Padmapriya, Shravya T. Clinical study of Eclampsia and outcome in a tertiary care centre. IOSR-JMDS. 2015;14(11):106-9.

Lotha L, Borah A, Lovelin. Maternal and perinatal outcome of eclamptic patients in a tertiary care hospital in Assam. Indian J Appl Res. 2016;6(8):17-19.

Sibai BM, Mabie BC, Harvey CJ, Gonzalez AR. Pulmonary edema in severe preeclampsia-eclampsia: analysis of thirty-seven consecutive cases. Am J Obstet Gynecol. 1987;156(5):1174-9.

Sarkar M, Basak S, Mondal SK, Das S, Roy D, Mandal J, Mondal SC, Das SK. Maternal mortality associated with eclampsia in an Ind medical college: a four-year retrospective study. J Medic Sci. 2013;4(10):394-8.

Agida ET, Adeka BI, Jibril KA. Pregnancy outcome in eclamptics at the University of Abuja Teaching Hospital, Gwagwalada, Abuja: a 3-year review. Nigerian J Clini Pract. 2010;13(4):394-8.

Khan A, Ghosh A, Banerjee PK, Mondal TK. Profile and outcome of eclampsia in a rural tertiary hospital. Int J Recent Trends Sci Tech. 2014;10(3):526-9.

Jido TA. Ecalmpsia: maternal and fetal outcome. Afr Health Sci. 2012;12(2):148-52.

Pradeep MR, Shivanna L. Retrospective study of eclampsia in a teaching hospital. Int J Recent Trends Sci Technol. 2013;8(3):171-3.

Verma K, Baniya GC, Agrawal S, Lomrod S. A study of Maternal and perinatal outcome in eclampsia patients. Indian J Obstet Gynecol Res. 2016;3(4):318-21.