Home| Journals | Statistics Online Expert | About Us | Contact Us

[Abstract] [PDF] [HTML] [Linked References]

International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 10, Issue 3, April 2014 pp 526-529

Research Article

Profile and Outcome of Eclampsia in a Rural Tertiary Hospital

Aparna Khan¹, Arindam Ghosh², Pradip Kumar Banerjee³, Tapan Kumar Mondal⁴

{¹Associate Professor, ²Junior Resident, ^{3, 4}Professor}

Academic Editor : Dr. Aher K.R.

Objective: to study the profile and outcome of eclampsia in a rural tertiary hospital. Materials and Method: the study was conducted over a period of one year 1.1.2012- 31.12.2012 in all eclampsia patients. All antenatal eclampsia were terminated irrespective of gestational age. All patients were treated with Magnesium Sulphate (MgSO₄). Blood Pressure (BP) of the patients was controlled with sublingual/ intranasal/oral nifedipine and oral labetalol. Results: incidence of eclampsia was 3.57%, case fatality rate was 3.57%. 29.76% maternal death was due to eclampsia. 84% patients had antepartum eclampsia and 16% patients admitted with postpartum eclampsia. 84% of patients belonged to <25yr age among them 34.42% patients were teen aged. Primigravida accounted for 84% cases. Severe hypertension was seen in 45.57% patients. 6(0.85%) patients had BP <140/90 mm of Hg. In majority (55.28%) MgSO₄ regimen could be started 12 hrs after first fit. Most (97.45%) patients delivered within 12hrs of admission. 9 mothers died before delivery. 65.36% patients had vaginal delivery. Caesarean section (CS) was done for 16.80% patients. 90.74% babies were live. Perinatal mortality was 17.18%. 36% cases died within 12hr of admission and remaining death occurred 12 hrs after admission. Cerebral hemorrhage (40%) was the most cause of death. 28% patients died of pulmonary edema 12% death was due to postpartum hemorrhage, hepatic coma was responsible for 2 deaths. One patient died of aspiration, one mother succumbed to septicemia. Acute renal failure led one death. Conclusion: eclampsia is a reflection of poverty illetaracy and lack of awareness. So to avert the maternal death due to eclampsia we have to improve our existing health care facility at the same time awareness, female literacy have to be increased to avail the existing health care facility.