Factors Affecting the Birth Outcome Among Women with Eclampsia at Mardan Medical Complex, Mardan, Pakistan.

Abstract

Background: Eclampsia is a life-threatening complication of pregnancy. Identifying the factors affecting birth outcome in eclamptic patients allows for targeted interventions to enhance maternal and fetal well-being.Objectives: To identify the risk factors that adversely affect birth outcomes among women with eclampsia.Material and Methods: This Cross-Sectional Descriptive study was conducted at Gynae Unit in Mardan Medical Complex, Mardan, from 1st January to 31st Dec 2018. A total of 157 antenatal patients who presented with eclampsia and live fetuses were enrolled for the study through non probability sampling technique. The data on their demographic variables, gestational age at presentation, mode of delivery, and birth outcome were recorded.The logistic regression model was used to investigate the dependence of birth outcome on maternal age, gestational age, mode of delivery, Parity and Booking Status. Results: Our analyses indicate that maternal age, mode of delivery, and parity significantly affect the birth outcome in women suffering from eclampsia. These three factors had a significantly negative impact on the birth outcome as their estimates are less than 1 at 5% level of significance indicating the probability of live birth decreases for the Normal Vaginal Delivery, Parity (multigravida), and advanced maternal age.Conclusion: Increased maternal age, normal vaginal delivery and multiparity increased the probability of still births in patients with eclampsia. Compared to the Cesarean section mode, normal vaginal delivery had a lower probability of live birth. Multigravida had a lower probability of live birth in eclampsia patients. Keywords: Cesarean Section, Eclampsia, Live birth, Normal vaginal delivery, Stillbirth.