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Category: Volume 07 Issue 04 April 2019
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Title: Surveillance Eclampsia in a tertiary care teaching hospital: Our experience

Authors: Pradip Kumar Panigrahi, Pratibha Jena

 DOI: https://dx.doi.org/10.18535/jmscr/v7i4.72

Abstract

Objective: To watch the maternal and Perinatal result in eclampsia.

Material and Methods: Data was gathered from eclamptic ladies admitted to the crisis ward of Obstetrics and gynecology of IMS and SUM doctor's facility, Bhubaneswar, India amid the time of Sept 2013 Aug 2015.Maternal and fetal complexities were noted.

Results: The occurrence of eclampsia was 1.58% amid the examination time frame. Greater part of the patients were under 30 years old (80.7%). There were a fundamentally higher number of ladies (n=42) from poor financial strata of the general public. Dominant part of the patients (55.7%) had no antenatal checkups. Cesarean conveyance rate in our foundation was 57.69%. 38.4% patients required admission to ICU. Perinatal passing rate was 285/1000 live births. There were 4 maternal passings (7.69%) amid the investigation time frame.

Decision: Eclampsia is a noteworthy obstetric crisis that needs sufficient administration to maintain a strategic distance from calamitous occasions. Early determination and referral of cases from essential human services unit alongside organization treatment and convenient mediation can enhance the visualization.

Keyword: Eclampsia, Maternal outcome, Perinatal outcome.

References

  1. Swain S, Ojha KN, Prakash A. Maternal and 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.  Dhananjay, G.Dayananda, D. Sendilkumaran, NiranjanMurthy.A Study of Factors Affecting Perinatal Mortality in Eclampsia. JPBS 2009; Volume 22 No.2:2-5.
  6. Taner CE1, Hakverdi AU, Aban M, Erden AC, Ozelbaykal U. Prevalence, management 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:10.1371/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. Abalos E, Cuesta C, Carroli G, Qureshi Z, Widmer M, Vogel JP, Souza JP,on behalf of the WHO Multicountry Survey on Maternal and Newborn Health Research Network. Pre-eclampsia, eclampsia 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.
  1. Aisha Abdullah, Altaf Ahmed Shaikh, Bahawaldin Jamro Maternal and perinatal outcome associated with eclampsia in a teaching hospital, Sukkur. Rawal Medical Journal, 2010; 35(1).
  2. 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.
  3. 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.
  4. 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.
  5. 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. 2006; 85(5):571-8.
  6. The reproductive and child health programme. Mwanza: Bugando medical Center 2008.
  1. 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.
  2. 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. 2002 Jun 1; 359(9321):1877-90.
  3. Dutta MR, Pant L, Kabiraj M, Basu SB. Magnesium sulphate in eclampsia: A safe, efficient and cost effective approach. J Obstet Gynecol Ind. 2002; 52(3):65–68.
  4. Yu VY1. Global, regional and national perinatal and neonatal mortality. J Perinat Med. 2003;31(5):376-9.
  5. Anupama Dave, LaxmiMaru, JyotiJharia. Preeclampsia and eclampsia-still an enigma. Indian J perinetalogy and Reproductive Biology.2014;4(2):12-15.
  6. Ghulmiyyah L1, Sibai B. Maternal mortality from preeclampsia/eclampsia. Semin Perinatol. 2012 Feb;36(1):56-9. doi: 10.1053/j.semperi.2011.09.011.
  1. Susmita Dash, S. Sherin, Gangadhar sahoo. 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.
  2. BediN, Kambo I, Dhillon BS, Saxena BN, Singh P. Maternal deaths in India-preventable tragedies. (An ICMR task force study). J Obstet Gynaecol Ind.2001;51:86.
  3. Cunningham F.G., Fernandez C.O., Hernandez Blindness associated with preeclampsia and eclampsia. Am J Obstet Gynecol 172:1291, 1995.
  4. Moseman CP,  Shelton S.  Permanent blindness as a complication of pregnancy induced hypertension. Obstet Gynecol. 2002 Nov; 100.943-5.
  5. Lara-Tore E, Lee MS, Wolf MA, et al: Bilateral retinal occlusion progressing to long lasting blindness in severe preeclampsia and eclampsia. Obstet Gynecol 100:940.2002.

Corresponding Author

Pratibha Jena

Assistant Professor, Department of Obstetrics and Gynaecology, IMS & SUM Hospital, Bhubaneswar, India

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