MATERNAL AND PERINATAL OUTCOME IN WOMAN WITH ANTEPARTUM ECLAMPSIA

Abstract

Introduction:The term eclampsia is derived from a Greek word, meaning like a flash of lightening1. Eclampsia is an obstetric enigma. However, the management of eclampsia still poses a fascinating challenge to the obstetrician, requiring the greatest skill, judgement and patience2.The aim of this study to study the maternal and fetal outcome in woman with eclampsia. Materials And Methods: Anobservational study conducted in patients with antepartum eclampsia in Department of Obstetrics and Gynaecology at Vanivilas hospital, Bangalore Medical College and Research Institute, Bangalore, satisfying inclusion and exclusion criteria were taken as cases.The study period was 18months (February 2021 to August 2022)All the findings were recorded in the proforma and analysed. Results: A total of 106 patients satisfying both inclusion and exclusion criteria were included in the present study. Out of which, 46 patients(43.40%) were primigravida and 60 (56.60%) were multigravida. 54 (50.94%) of them underwent vaginal delivery and 52 (49.06%) patients underwent caesarean delivery. Most common indication for LSCS was unfavorable cervix. Maternal complications occurred in 10 patients (9.43%) and maternal mortality was 5.66% (6 patients).NICU admission was seen in 57 babies (58.16%) and neonatal death occurred in 11 babies (11.22%). Conclusion: By analysing maternal and perinatal outcome measures in woman with eclampsia, measures can be taken to expedite delivery and hence improving the maternal and perinatal outcome.