Clinical study on postpartum eclampsia


  • Madhu J. Department of Obstetrics and Gynecology, KIMS, Hubli, Karnataka, India
  • Priya Shankar Department of Obstetrics and Gynecology, KIMS, Hubli, Karnataka, India



Eclampsia, Neuroimaging, Postpartum eclampsia


Background: Eclampsia constitutes one of the deadly triad along with malnutrition and anemia which authors encounter in the present tertiary hospital Karnataka Institute of Medical Sciences, Hubli. This study was done to study the epidemiological factors associated with postpartum eclampsia, correlation with neuroimaging and the maternal outcome. The objective of the present study was retrospective study of postpartum eclampsia over a period of 22 months.

Methods: A retrospective study conducted over a period 22 months from June 2015 to March 2017 in a tertiary care hospital, Karnataka Institute of Medical Sciences, Hubli. Case records of all postpartum eclampsia patients admitted during the period were analyzed.

Results: This study showed that incidence of postpartum eclampsia in our hospital was 1.4%. It is more common in age group of 20-25 years, more common in primipara  (67.24%), commonest mode of delivery was vaginal route (86.2%), the occurrence of convulsion was more common within 24hrs after delivery. Most common CT scan finding was normal study (51.72%) followed by cerebral infarct (15.5%), cerebral edema (13.72%), PRES (10.34%). There were no cases of maternal mortality due to postpartum eclampsia during study period.

Conclusions: Eclampsia still remains a major cause of maternal morbidity, CT scan of brain gives valuable intracerebral information, and aids in a better management.


Nobis PN Eclampsia in India Through the Decades J Obstet Gynaecol India. 2016;66(1):172-6.

National health portal India designed, developed and hosted by center for health informatics ( CHI) set up at National Institute of Health and Family Welfare (NIHFN) and MOHFW GOI 2016.

Countdown to 2015 for maternal, newborn and child survival: accountability for maternal, newborn and child survival. Geneva: World Health Organization; 2013 Available at (http// 2013-Updates nonprofiles.pdf)

Trends in maternal mortality: 1990-2010- estimates developed by WHO, UNICEF, UNFPA and the World Bank. 2012.

Bansal V, Damania KR . hypertensive disorders of pregnancy, Amarnath B, Sabartanam A, Kaizad RD, Daftary SN, editor. Arias Practical Guide to High risk pregnancy and delivery. A south Asian Perspective, 4th edition, Elesvier: New Delhi;2015

Patil MM. Role of neuroimaging in patients with atypical eclampsia. J Obstet Gynecol.2012;62(5):526-30.

Kokila MS, Dwivwdi AP. Correlation of clinical and neuroimaging findings affecting management in postpartum eclampsia: A prospective study with South Asian federation. Obstet and Gynecol 2011; 3(3):125-30.

Sibai BM. Prevention of preeclampsia: a major disappointment. Am J Obstet Gynecol. 1998;179(5):1275-8.

Bharathi R, Sundari KM, Jayanthi RD. Clinical study of postpartum eclampsia in atertiary care hospital. Int J Reproduct, Contracep, Obstet Gynaecol.2016;5(11)3728-30.

Kayem etal :System UKOS, Maternal and Obstetrics factors associated with delayed postpartum eclampsia: a national study population, Acta Obstet Gynecol Scand, 2011:90(9);1017-23

Lubanshy SL, Barton JR, Friedmon SA, Nasseruddin S, Ramadan ML Sibai. BOM late postpartum eclampsia institute Obstet Gynecol 1994;83(4);502-5.

Chames MC1, Livingston JC, Ivester TS, Barton JR, Sibai BM, Late postpartum eclampsia: a preventable disease? Am J Obstet Gynecol. 2002;186(6):1174-7.

Khandaker S, Haldar M, Munshi S. Intracerebral Changes Detected by CT scan of Brain in Eclampsia. Global J Med Res. 2014 (1).

Harandou M, Madani N, Labibe S, Messouak O, Boujraf S, Benkirane S, et al Neuroimaging findings in eclamptic patients still symptomatic after 24 hours: a descriptive study of about 19 cases Ann Fr Anasth Reanim. 2006,25(6);577-83.

Zhu XW cerebral lesions in severe PIH: 61 cases study with CT scan Zorighua Chan Ke Za Chi. 1993; 28(5):275-7.






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