Abstract

Background: Preeclampsia and eclampsia is one of the leading causes of maternal and perinatal morbidity and mortality. It is an acute life endangering complication of pregnancy.

Aim: The objective of the present study was to study the maternal and fetal outcome in patients with severe preeclampsia and eclampsia in a tertiary care centre.

Study Design: Prospective Study

Study Period: From January 2019 to December 2019 over a period of one year.

Material and Method: Total 140 women with severe preeclampsia and eclampsia were included in the study according to the inclusion and exclusion criteria, who were admitted in obstetric emergency unit of Patna medical college hospital over a period of one year.

Results: In present study 77.85% cases were unbooked and referred to this centre. Out of 140, 91 patients (65%) are between 20–30 year of age group. Majority of patients 75 (53.57%) were primigravida. Majority of patient were preterm 96(68.57%). Out of 140 patients, 87 (62.14%) patients were referred for convulsions and 45.71% with high blood pressure. Cesarean section was done in 49.28% patient for failed induction (46.3%) or fetal distress (24.7%).vaginal delivery occured in 38.57%. The mean delivery was 6.8 hours. Maternal complications included PPH in 51, abruption placenta in 11 and DIC in 19. Out of 140 cases, 106 were live birth, 24 intrauterine deaths, and 12 still births. Low birth weight babies were 47.85% and NICU admission required in 59.28% cases.  There were 10(7.14%) cases of maternal death. perinatal loss was 34.28%.

Conclusion: A Proper antenatal care, early intervention and prompt treatment is required to reduce maternal and perinatal outcome in patients with severe preeclampsia and eclampsia.

Keywords: obstetric outcome, eclampsia, severe preeclampsia, maternal morbidity, perinatal morbidity