Abstract
SummaryEclampsia remains a problem worldwide in obstetric practice. Among 29 450 deliveries at the King Faisal University Teaching Hospital, Al-Khobar, Saudi Arabia, between June 1982 and May 1993, there were 50 singleton pregnancies with eclampsia, giving an incidence of 1 in 589 deliveries (0.17 per cent). Twenty-four patients had antepartum eclampsia; 19 had intrapartum and seven had postpartum fits. The efficacy of two treatment regimens used to control eclamptic fits, diazepam and magnesium sulphate, was studied. None of the mothers with eclampsia died but 10 of the 50 babies were lost, giving a perinatal mortality rate of 200/1000. The perinatal deaths were mainly associated with prematurity and intra-uterine growth retardation. There was no difference in maternal morbidity and perinatal mortality between the two treatment groups. Active obstetric intervention as opposed to conservative management improves both the maternal and perinatal outcome in eclampsia.
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