Eclampsia-prevalent yet preventable complication – experience at tertiary care centre

Abstract

Introduction: Maternal mortality is not only a health disadvantage, rather it is a social disadvantage as it puts economic burden on the family, community, governments, and nations. Aim: It is prospective study of eclampsia for period of 9 months admitted in tertiary care center for treatment. Materials and Methods: 152 cases of eclampsia are analysed as to the antenatal care, severity of HTN, type of eclampsia, gestational age, mode of induction, mode of delivery, complications, maternal and perinatal outcome with an aim to revise and improvise existing protocols. Results: Total deliveries were 12406and incidence in present study is 1.2%, Age of the women is from 20-36 years in which Primi’s were 59.2%, Gestational age is more than 28 weeks in 89% of total incidence mild PIH in 45.8%. Perinatal mortality rate 28.3% which is much lower when compared with patients who delivered vaginally (43.3%)Vaginal delivery were more than LSCS , Abortions were 11.8%, 18 cases were found with IUD 4 maternal deaths,2 cases severe HTN & CVA,1 Aspiration pneumonitis,1 pulmonary embolism. Conclusion: Eclampsia a life endangering obstetric emergency. Wide awareness of protocols at referal centres, early treatment and timely referral of pre-eclampsia, availability of MICU and NICU facilities will further improve maternal and foetal outcome.