Eclampsia
and Perinatal Outcome:
A Retrospective Study in a Teaching Hospital
1056-1059
Correspondence
Rajasri
G. Yaliwal, Associate Professor
Department of OBGYN
Shri BM Patil Medical College Hoppital and Research Center,
Bijapur, Karnataka India
Phone: 98451 52240
E-mail: ryaliwal@yahoo.com
Background: Eclampsia is associated with devastating maternal and foetal complications.
Aims: To determine the perinatal mortality rate in eclamptic women. To assess the perinatal outcome with respect to time between first convulsion and delivery, time of treatment and delivery .To assess the perinatal outcome and mode of delivery.
Setting and Design: Eclamptic women admitted to the labour ward of Shri BM Patil Medical College Hospital and Research Center, Bijapur, Karnataka, India from 1.1.2001 to 31.12.2010. Clinic data along with the results of the investigations were collected and analysed.
Results: The study comprised of 98 pregnant women with eclampsia and gestational age of more than 28 weeks who satisfied the inclusion and exclusion criteria. The total number of babies delivered was 100. The perinatal death rate was 350/1000. Perinatal mortality was high in patients who had a systolic Blood Pressure of ≥160mm of Hg, a diastolic Blood Pressure of ≥110mm of Hg, babies who weighed less than 2 kgs and urine albumin>2+. Perinatal mortality was low in those patients who had delivered within 6 hours of convulsion, within 6 hours of commencement of treatment, babies delivered by caesarean section.
Conclusion: Timeliness in the management of these cases can reduce the perinatal mortality.