files/journal/2022-09-03_18-51-40-000000_599.png

Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
About US
Editors
Issues
Pages
Indexed in
196
Views
32
Downloads

Maternal and Perinatal Outcome in Eclampsia: An Experience from Tertiary Care Teaching Hospital, a Prospective Observational Study

Ridhdhi Yogeshbhai Mehta, Jalpa Rathod, Surbhi Dineshbhai Chavda and Dhrutiba Vanrajsinh Basiya
Page: 203-208 | Received 31 Dec 2023, Published online: 29 Jan 2024

Download Citation
https://doi.org/10.36478/10.59218/makrjms.2024.5.203.208

Full Text Reference XML File PDF File

Abstract

Hypertensive disorders in pregnancy, including preeclampsia and eclampsia, pose significant risks to maternal and perinatal health, particularly in developing countries like India. Eclampsia, characterized by seizures, represents the severe end of this spectrum, contributing to maternal mortality. Despite global efforts, eclampsia remains a major concern, with preventable factors contributing to its incidence and adverse outcomes. This study aims to assess the incidence of eclampsia and its associated maternal and perinatal morbidity and mortality. A prospective observational study conducted over one year in an obstetrics and gynecology department in India involved pregnant patients beyond 24 weeks of gestation with eclampsia. Exclusion criteria included patients with other causes of seizures. Diagnosis involved comprehensive evaluations, including medical history, physical examinations, and obstetric assessments, along with specific diagnostic tests. Treatment followed standard protocols, including magnesium sulfate administration and hypertension management. Data collection encompassed various parameters related to maternal and perinatal outcomes. Demographic and clinical characteristics of 90 study patients revealed a predominance of young women, primarily primigravida, with most cases being un‐booked. Antepartum eclampsia was prevalent, with varying numbers of convulsions and delivery intervals. Cesarean section rates were notable, and maternal complications included HELLP syndrome, acute renal failure, and pulmonary edema. Fetal outcomes indicated a majority of live births, although a significant proportion had low birth weights and required NICU support. Eclampsia remains a critical obstetric emergency with significant maternal and perinatal morbidity and mortality. Despite efforts to improve antenatal care and management protocols, challenges persist in preventing and managing eclampsia effectively. Enhancing antenatal care services, early diagnosis, and optimal management strategies are crucial for reducing the burden of eclampsia and improving maternal and perinatal outcomes.

How to cite this article:

Ridhdhi Yogeshbhai Mehta, Jalpa Rathod, Surbhi Dineshbhai Chavda and Dhrutiba Vanrajsinh Basiya. Maternal and Perinatal Outcome in Eclampsia: An Experience from Tertiary Care Teaching Hospital, a Prospective Observational Study.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.5.203.208
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.5.203.208