Title: Maternal and Perinatal outcome in Eclampsia
Authors: Pendyala Sujata, Janmejaya Sahoo, P. Rajkumari, Gangadhar Sahoo
DOI: https://dx.doi.org/10.18535/jmscr/v4i11.118
Objective: To observe the maternal and Perinatal outcome in eclampsia. Material and Methods: Data was collected from eclamptic women admitted to the emergency ward of Obstetrics and gynecology of IMS and SUM hospital, Bhubaneswar, India during the period of Sept 2013 Aug 2015. Maternal and fetal complications were noted. Results: The incidence of eclampsia was 1.58% during the study period. Majority of the patients were less than 30 years of age (80.7%). There were a significantly higher number of women (n=42) from poor socio-economic strata of the society. Majority of the patients (55.7%) had no antenatal checkups .Caesarean delivery rate in our institution was 57.69%. 38.4% patients needed admission to ICU. Perinatal death rate was 285/1000 live births. There were 4 maternal deaths (7.69%) during the study period. Conclusion: Eclampsia is a major obstetric emergency that needs adequate management to avoid catastrophic events. Early diagnosis and referral of cases from primary health care unit along with institution therapy and timely intervention can improve the prognosis. Keyword: Eclampsia, Maternal outcome, Perinatal outcome.
1. Swain S, Ojha KN, Prakas-h A. Maternaland perinatal mortality due to eclampsia. Indian Pediatr 1993 Jun; 30(6) : 771-73. 2. MacKay AP, Breg CJ, Atrash Hk. Pregnancy related mortality from preeclampsia and eclampsia. Obstet Gynecol 2001; 97:533-38. 3. Parik F, MoodleyJ.Maternal and Neonatal outcome in early and late onset pre-eclampsia. Semin Neonatol.2000 Aug; 5(3):197-207. 4. Ndaboine EM, Kihunrwa A, Rumanyika R, Im HB, Massinde AN. Maternal and perinatal outcomes among eclamptic patients admitted to Bugando Medical Centre, Mwanza, Tanzania.Afr J Reprod Health. 2012 Mar; 16(1):35-41. 5. BS. Dhananjay, G.Dayananda, D. Sendilkumaran, NiranjanMurthy.A Study of Factors Affecting Perinatal Mortali-ty in Eclampsia .JPBS 2009; V22 No.2:2-5 6. Taner CE1, Hakverdi AU, Aban M, Erden AC, Ozelbaykal U. Prevalence, managem-ent and outcome in eclampsia.Int J Gynaecol Obstet. 1996 Apr; 53(1):11-5. 7. Pannu D, Das B, Hazari P. Maternal and perinatal outcome in eclampsia and factors affecting the outcome: a study in North Indian population. Int J ReprodContracept Obstet Gynecol. (2014); 3(2): 347-351. 8. Giordano JC, Parpinelli MA, Cecatti JG, Haddad SM, Costa ML, Surita FG, et al. (2014) The Burden of Eclampsia: Results from a Multicenter Study on Surveillance of Severe Maternal Morbidity in Brazil. PLoS ONE 9(5): e97401. doi:10.13-71/journal.pone.0097401 9. Rowshan Akhtar, Afroza Ferdous, Syeda Nurjahan Bhuiyan. Maternal and Fetal Outcome of Eclamptic Patients in a Tertiary Hospital. Bangladesh J Obstet Gynaecol, 2011; Vol. 26(2): 77-80 10. , , , , , , ,on behalf of the WHO Multicountry Survey on Maternal and Newborn Health Research Network. Pre-eclampsia, eclam-psia and adverse maternal and perinatal outcomes: a secondary analysis of the World Health Organization Multicountry Survey on Maternal and Newborn Health. BJOG 2014; 121(Suppl. 1): 14–24. 11. Aisha Abdullah, Altaf Ahmed Shaikh, BahawaldinJamro Maternal and perinatal outcome associated with eclampsia in a teaching hospital, Sukkur. Rawal Medical Journal, 2010; 35(1). 12. Agida ET, Adeka BI, Jibril KA. Pregnancy outcome in eclamptics at the University of Abuja Teaching Hospital, Gwagwalada, Abuja: A 3 year review. Niger J Clin Pract. 2010; 13(4): 394-98. 13. Rajasri G. Yaliwal, P.B. Jaju, M. Vanishree. Eclampsia and perinatal outcome: a retrospective study in a teaching hospital. Journal of Clinical and Diagnostic Research [serial online] 2011 October [cited: 2015 Aug 7]; 5:1056-1059. 14. Sibai B.M., el-Nazer A., Gonzalez-Ruiz A. Severe preeclampsia-eclampsia in young primigravid women: subsequent pregnancy outcome and remote prognosis. Am J Obstet Gynecol. 1986;155:1011–1016. 15. Urassa DP1, Carlstedt A, Nyström L, Massawe SN, Lindmark G. Eclampsia in Dar es Salaam, Tanzania -- incidence, outcome, and the role of antenatal care. Acta Obstet Gynecol Scand. 06; 85(5): 571-8. 16. The reproductive and child health programme. Mwanza: Bugando medical Center 2008. 17. Innocent O. George, Israel Jeremiah. Perinatal Outcome of Babies Delivered to Eclamptic Mothers: A Prospective Study from a Nigerian Tertiary Hospital. International Journal of Biomedical Science, 2009; 5(4):390-394. 18. Altman D, Carroli G, Duley L, Farrell B, Moodley J, Neilson J, Smith D; Magpie Trial Collaboration Group. Do women with pre-eclampsia, and their babies, benefit from magnesium sulphate? The Magpie Trial: a randomised placebo-controlled trial.Lancet. 2002 Jun 1; 359(9321):1877-90. 19. Dutta MR, Pant L, Kabiraj M, Basu SB. Magnesium sulphate in eclampsia: A safe, efficient and cost effective approa-ch. J Obstet GynecolInd.2002;52(3):65–68 20. Yu VY1. Global, regional and national perinatal and neonatal mortality. J Perinat Med. 2003;31(5):376-9. 21. Anupama Dave, LaxmiMaru, JyotiJharia. Preeclampsia and eclampsia-still an enigma. Indian J perinetalogy and Reproductive Biology.2014;4(2):12-15. 22. Ghulmiyyah L1, Sibai B. Maternal mortality from preeclampsia/eclampsia. SeminPerinatol. 2012 Feb;36(1):56-9. doi: 10.1053/j.semperi.2011.09.011. 23. SusmitaDash, S.Sherin,Gangadharsahoo. Maternal mortality –magnitude of the problem and its prevention at V.S.S.M.C.H, Burla. Indian journal of perinatology and Reproductive biology, vol1,no.2,March 2011,8-11. 24. BediN,Kambo I, Dhillon BS, Saxena BN, Singh P. Maternal deaths in India-preven-table tragedies. (An ICMR task force study).J Obstet Gynaecol Ind.2001; 51:86. 25. Cunningham F.G., Fernandez C.O., Hernandez Blindness associated with preeclampsia and eclampsia. Am J Obstet Gynecol 172:1291, 1995. 26. Moseman CP, Shelton S. Permanent blind-ness as a complication of pregnancy indu-ced hypertension. Obstet Gynecol. 2002 Nov; 100.943-5. 27. Lara-Tore E, Lee MS, Wolf MA, et al: Bilateral retinal occlusion progressing to long lasting blindness in severe preecla-mpsia and eclampsia. Obstet Gynecol 100:940.2002.
Abstract