A STUDY ON MATERNAL AND PERINATAL OUTCOME IN ECLAMPSIA

Abstract

Introduction: Eclampsia is still amongst the six major determinants of maternal mortality. It is characterized by sudden onset of generalized tonic-clonic convulsion or coma in pregnancy or postpartum, unrelated to other cerebral conditions,in patients with signs and symptoms of preeclampsia. Eclampsia results in increased maternal morbidity and perinatal morbidity. Materials And Methods: This is a prospective hospital based observational study in which all women with eclampsia admitted in OBG department of tertiary care center over one year period from January 2021 to December 2021. Aims And Objectives: To study the incidence of eclampsia, maternal and fetal outcome in eclampsia, complications of eclampsia. Results: Mean age of study group was 23.9±3.55 SD.Majority of the cases were primigravida- 74 (61.66%). Majority of cases were unbooked- 112 (93.3%). Mean gestational age in study group was 35.11 ± 3.24weeks.Majority of cases were antepartum eclampsia- 110 (91.66%)Caesarean delivery was needed in 74 (61.66%) and 46 (38.33%) delivered vaginally.The perinatal mortality is 29.03%. The maternal mortality is 4.16%. Conclusion: Eclampsia occurred in young unbookedprimigravidas in the antenatal period and its incidence is 1.32%. Women require care in HDU-ICU and need careful evaluation to decide the mode of delivery in the best interest of mother and the, to be born preterm baby.We still have a long way to go to improve the outcome of such mothers and infants by better high-risk assessment at peripheral hospitals, critical care ambulances for transfer of these women from periphery and improvement of critical care at our institution by training of our faculty and residents in critical care obstetrics.