FREQUENCY AND OUTCOME OF ECLAMPSIA

Fouzia Shaikh, Sabreena Abbas, Ifat Balouch, Sabreena Talpur, Sajida Yousfani, Farwa Hashmat

Abstract


Background: Eclampsia is an acute obstetric emergency carrying very high maternal morbidity and mortality risk. The objective of the study was to determin the frequency and maternal outcome of eclampsia.
Material & Methods: This cross-sectional study was conducted in the Department of Obstetrics and Gynecology, unit II, Liaquat University Hospital, Jamshoro/Hydrabad. from 1st January 2015 to 31st December 2015. A sample size of 188 was selected through non-probability, consecutive technique. All patients admitted as cases of eclampsia or who develop eclamptic convulsions after admissions in hospital whether antepartum, intrapartum or postpartum were included. Patients with hypertensive disorders during pregnancy who did not develop eclamptic convulsions or patients with seizures due to epilepsy or other disorders were excluded. Demographic variables were; age, parity, antenatal care received or not and research variable was maternal outcome in terms of discharged alive or expired. Case fatality rate was calculated. Data was entered on a pre-designed proforma. Age was numeric while all others were categorical variables. Frequency and percentages were calculated for categorical variables whereas mean and standered deviation for numeric variable. Descriptive statistical analysis was done.
RESULTS: There were 4979 obstetric admissions, with 4120 deliveries. A total of 188 patients were admitted as cases of eclampsia constituting 3.78% of obstetric admissions. Mean age of patients was 23+3.10 years. One hundred and forty seven (78%) were primigravida and 41(22%) were multigravidas. Ante natal care was 43 (23%), and majority of women first time came to know about their raised blood pressure after admission. Maternal outcome was 37(20%) patients expired and 151(80%)patients survived and discharged home. Out of total of 111 maternal deaths during the study period due to complications of eclampsia mainly pulmonary edema (66%), the case fatality rate was 19.68 %.
CONCLUSION: Eclampsia is a serious, common condition associated with significant maternal morbidity and mortality. Frequency of eclampsia is common in young and primigravada having lack of ante natal care.

Keywords


Eclampsia; Pathogenesis; Strategies; Genetics; Environmental; Disease.

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References


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