Frequency and Outcomes of Eclamptic Patients Shifted to Intensive Care Unit

Abstract

Objective: To determine the frequency of eclamptic patients admitted to a tertiary care hospital's intensive care unit and their outcomes. Patient and Methods: This was descriptive case series study and was took place at the civic Hospital Hyderabad's gynecology and obstetrics department for a year, from August 2015 to July 2016. This study comprised 85 extremely suffered eclamptic women who were admitted to the labour room and later transferred to the ICU. All the demographic information including maternal complications and mortality were gathered using a pre-made proforma. Results: A total of 85 extremely unwell eclamptic women who were admitted to the obstetrics/gynecology department and subsequently transferred to the intensive care unit were studied. The patients' average age was 30.543.66 years. Most of the women 59(69.41%) were multiparous. Regarding the intervention required in ICU, (68.24%) women were on mechanical ventilation, (58.82%) were on inotropic support, blood transfusions were required in 23 of 85(27%) women. Renal failure was found in 35.29% women, disseminated intravascular coagulation (DIC) was in 30.59% women, and multiple blood transfusion were required in 40% cases and rate of mortality was 20%. Conclusion: Maternal complications and mortality rate were observed to be higher among eclamptic women. It causes a lot of maternal and perinatal morbidity and death. As a result, we might conclude that our health-care system lacks the necessary resources to provide our expecting mothers with proper antenatal care. Key words: Eclampsia, ICU, outcome