Incidence and determinant of eclampsia and its associated complication in tertiary care hospital of Gujarat, India

Authors

  • Chirag Banker Department of Obstetrics and Gynecology, GMERS Medical College, Gandhinagar, Gujarat, India
  • Latika Mehta Department of Obstetrics and Gynecology, GMERS Medical College, Gandhinagar, Gujarat, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20196024

Keywords:

Eclampsia, Preeclampsia, Pregnancy induce hypertension

Abstract

Background: Eclampsia is one of common cause of maternal mortality in developing country like India. It can be detected and prevented if early ANC care is properly done. Mainstay of management in case of eclampsia is early delivery to improve the prognosis in terms of reducing maternal and perinatal morbidity and mortality.

Methods: This prospective study was carried out in the department of obstetrics and gynaecology, at tertiary care centre in the state of Gujarat, for a period of two years from July 2012 to June 2014. With purposive sampling method all patients admitted with complain of eclampsia is included in study. Details are taken in predesigned, pre-validated and prescribed proforma.

Results: Hospital based incidence of eclampsia in our study is 1.11%. Majority of the patient were unbooked. Eclampsia is a disease of young primigravida, specifically teenage primigravida. Seventy-five percentage of eclampsia cases occurred in the antenatal period, 14% in intranatal period and 11% in the postnatal period.

Conclusions: In developing countries like India still eclampsia is major problem. Good antenatal care with increased antenatal visits may help in reducing the incidence. Increased incidence among young primigravida and low socio-economic status group provides the target group for medical measures.

References

World Health Organization. Trends in maternal mortality: 1990 to 2015. Estimates by WHO, UNICEF, UNFPA, The World Bank and the United Nations Population Division. Geneva: World Health Organization; 2015. Available at: http://apps.who.int/iris/bitstream/10665/194254/1/ 9789241565141_eng.pdf?ua=1.

Say L, Chou D, Gemmill A, Tuncalp O¨, Moller AB, Daniels J, et al. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Health. 2014;2(6):e323-33.

Knight M, Nair M, Tuffnell D, Kenyon S, Shakespeare J, Brocklehurst P, et al. editors. Saving lives, improving mothers’ care-surveillance of maternal deaths in the UK 2012-14 and lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2009-14. Oxford: Nuffield Department of Population Health; 2016.

Sibai BM. Diagnosis, prevention and management of eclampsia. Obst Gynesol. 2005;105(2):402-10.

Matter F, Sibai BM. Eclampsia VIII. Risk factor for maternal morbidity, AM J Obstet Gynecol. 1990;163:1049-55.

Dare FO, Eniola OA, Bariweni AC. Eclampsia revisited. Nig J Med. 1998;7:168-71.

Adetoro OD. The pattern of eclampsia at the university of Ilorin Teaching Hospital. Ilorin Nigeria, Int J Gynol Obstet. 1990;31:221-6.

Duley L. Maternal Morality associated with hypertensive disorders of pregnancy in Africa, Asia, Latin America and Caribbean. Br J Obstet Gynecol. 1992;99(7):547-53.

Duley L Preeclampsia and the hypertensive disorders of pregnancy. Br Med J. 2003;67:161-76.

Akinola O, Fabamwo A, Gbadegesin A, Ottun A, Kusemiju O. Improving the clinical outcome in cases of eclampsia: the experience at Lagos State University Teaching Hospital, Ikeja. The Int J Third World Med. 2007;6:2.

Vousden N, Lawley E, Seed PT, Gidiri MF, Goudar S, Sandall J, et al. Incidence of eclampsia and related complications across 10 low- and middle-resource geographical regions: Secondary analysis of a cluster randomized controlled trial. PLoS Med. 2019;16(3):e1002775.

Tukur J, Umar BA, Rabi RU. Pattern of eclampsia in a tertiary health facility situated in a semi-rural town in Northern Nigeria. Ann Afr Med. 2007:6(4):164-7.

Chekairi MM, A eclampsia, study of 342 cases. Hypert Preg. 2008;27(2):103-11.

Majhi A, Chakraborthy P, Mukhopadhyaya A, Eclampia: present scenerio in a referral medical college, Calcutta. J Obstet Gynecol India. 2000;50:128-32.

Abalos E, Cuesta C, Carroli G, Qureshi Z, Widmer M, Vogel JP, et al. Pre-eclampsia, eclampsia and adverse maternal and perinatal outcomes: a secondary analysis of the World Health Organization multicountry survey on maternal and newborn health. BJOG. 2014;121(Suppl 1):14-24.

Vigil-De Gracia P, Rojas-Suarez J, Ramos E, Reyes O, Collantes J, Quintero A, et al. Incidence of eclampsia with HELLP syndrome and associated mortality in Latin America. Int J Gynaecol Obstet. 2015;129(3):219-22.

Ganchimeg T, Ota E, Morisaki N, Laopaiboon M, Lumbiganon P, Zhang J, et al. Pregnancy and childbirth outcomes among adolescent mothers: a World Health Organization multicountry study. BJOG. 2014;121(Suppl 1):40-8.

Downloads

Published

2019-12-26

Issue

Section

Original Research Articles