Clinical study of post partum eclampsia in a tertiary care hospital

R. Bharathi, K. P. Mohana Sundari, R. Deeba Jayanthi


Background: The study was done to analyze epidemiological factors associated with postpartum eclampsia and to assess the maternal outcome.

Methods: This is a retrospective study done in a tertiary care hospital, Govt. Mohan Kumaramangalam Medical College Hospital, Salem, Tamil Nadu between Jan 2015 to Dec 2015. Case records of all the postpartum eclampsia patients admitted during this period were analyzed.

Results: This study showed that the incidence of postpartum eclampsia in our hospital was 9.3 per 1000 deliveries. It is more common in the age group of 21 - 25 years (52%) and frequent occurrence in primi para (50.7%). Commonest mode of delivery was vaginal route (63%). The occurrences of seizures were common between 48 hours to 7 days (30.7%). The mortality was 6 (10.7%) out of 56 maternal deaths that occurred during the study period.

Conclusions: Postpartum eclampsia is still one of the most common obstetric emergencies which have a significant role in maternal mortality. Regular antenatal care alone is not enough; they also need regular postnatal follow up care and health education.


Postpartum eclampsia, Maternal mortality, CVT

Full Text:



Singh BM, Mishra R. Hypertensive disorders, Mishra R, editor. Ian Donalds Practical Obstetric Problem, Seventh edition, BI Publications Pvt Ltd; New Delhi; 2014:142-75.

Gupta S, Wagh G. Preeclampsia, Journal of Obstetrics and Gynaecology. 2014 Feb;64(1);4-13.

Sarma HK, Talukdar B, Eclampsia. A clinical prospective study in a referral hospital. Journal of Obstetrics and Gynaecology Barpeta, 2014;I(1);57-61.

Bansal V, Damania KR. Hypertensive disorders of pregnancy, Amarnath B, Sabaratnam A, Kaizad RD, Daftary SN, editor. Arias Practical Guide to High-risk pregnancy and delivery. A South Asian Perspective, 4th edition, Elsevier: New Delhi; 2015.

Chames MC, Livingston JC, Ivester TS, Barton JR, Sibai BM. Late postpartum eclampsia: A preventable disease; American Journal of Obstetrics Gynaecology. 2002;186(6):1174-77.

Sibai BM. Hypertension in pregnancy. In: Gabbe SG, Niebyl JR, Simpson JL, editors. Obstetrics: normal and problem pregnancies. 3rd ed. New York: Churchill-Livingstone, 1996:935-996.

Rath SK. Clinical Study of Postpartum eclampsia, International Journal of Science and Research (IJSR). 2016;5(3):1555-7.

Kayem G, Kurinczuk JJ, Spark P, Brocklehurst P, Knight M. System UKOS, Maternal and Obstetric factors associated with delayed postpartum eclampsia; a national study population, Acta Obstet Gynecol Scand, 2011;90(9);1017-23.

Doley R. Clinical study of eclampsia in a tertiary care hospital, Indian Journal of Science and Technology. 2016;9(29).

Sundari KPM, Priya RP, Subathra, Maternal mortality; analysis of causes and preventable factors. Int J Reprod Contracept Obstet Gynecol. 2016;5:1719-21.