Background: (1)To study maternal outcome in eclampsia in relation to respiratory complications, fever, DIC, renal system affection and electrolyte imbalance. (2) To study the fetal outcome in eclampsia in relation to small for gestational age, intrauterine death, neonatal mortality, perinatal mortality and need for NICU admission.Study Design: It was a crosssectional prospective study conducted at Government Medical College Nagpur over a period of 3 months (14 May to 14 July). Methods: The study was approved by the Institutional ethical committee. All patients admitted in the department of obstetrics and gynaecology at government medical college Nagpur with eclampsia was enrolled for the study as per the criteria given. It was a a cross-sectional prospective study conducted from 14 May to 14 July (3 months) on women admitted with eclampsia after the gestational age of 20 weeks and presented with convulsions. The outcome in relation to maternal and neonatal morbidity and mortality was studied on the basis of various complications and defined parameters. Result: A total of 43 patients were enrolled in the study. The most common age group of patients who had eclampsia after 20 weeks of gestation belonged to age group of 21-25 years followed by more than 25 years and the least common age group was between 18-20 years of age. The mean age was found to be 24.23 years. Out of the studied cases 21 (48.83%) were primigravida and 22 (51.16%) were multigravidae. 16 (37.20%) patients visited doctor for ANC visits once or twice while 8 (18.60%) patients visited the doctor thrice, 9 patients made 4 ANC visits while 10 patients were such that they didn't made even a single ANC visit before getting admitted in our hospital with seizures. Patients with term pregnancies made up 34.88% of the total patients while 65.11% patients were preterm. The most common signs and symptoms seen in these patients were Headache (92%), Nausea and vomiting (90%), Epigastric pain (32%), anasarca (23%) and sudden blindness (6%). Out of 43 patients normal vaginal delivery took place in 22 (51.16%) and LSCS was done in 21 (48.83%) of the patients. The most common indication of LSCS in patients with eclampsia was fetal distress (47.61%) followed by unfavourable cervix (28.57%), failure of induction (14.28%) and contracted pelvis (9.52%). The most common complications seen in patients with eclampsia included Respiratory complications like aspiration pneumonia, pleural effusion and pulmonary oedema, which were seen in 11 (25.58%) patients followed by fever (23.25%) and haematuria (23.25%). The least common complications encountered were cardiomyopathy and cerebrovascular accidents which were seen in 2 patients (4.65%) each. Serious complications like disseminated intravascular coagulopathy, renal failure and deranged hepatic functions were seen in 16.27%, 6.97% and 13.95% respectively. convulsions to delivery interval was found to be a significant determinant of outcome and complications were found to be more common if this period exceeded more t...

Introduction: Twin births are the commonest form of multiple births. Twins have attracted considerable attention and excited curiosity from early times as a biological variety in the study of the human species. Twin pregnancy is considered as high risk pregnancy. There is poor neonatal outcome in terms of mortality and morbidity. Materials and methods: A retrospective study was conducted from Jan 2015 to Jan 2014 Mac Gann Government General hospital. During this period there were 2643 deliveries occurred out of which 48 twins and 8 were triplets. Results: In the present study, Incidence of twin pregnancy is 18/1000 live birth. Monozygotic twinning rate is 4.2/1000 live births, while dizygotic twinning rate is 14.2/1000 live births. Perinatal mortality in twins is 177/1000 births as compared to 74.3/1000 births in singleton pregnancy i.e., 2.38 times that of singleton pregnancy. In twin pregnancy Perinatal mortality rate in 1 st twin is 62.5/1000 live births while in second twin it is 114.5/1000 births. Frequency of IUGR in twin pregnancy is 85.4%. Risk of preterm labour in twin pregnancy is 64.5%. IUGR babies are more in monochorionic than in dichorionic placenta. Conclusion: Perinatal mortality in twin is higher than in of singleton pregnancy. Risk of single fetal loss (antepartum deaths) in twin pregnancy is higher than risk of both fetal losses. Perinatal mortality rate in 2 st twin is double compared to first twin. Perinatal mortality increases as the gestational age decreases. Frequency of IUGR in twin pregnancy is very high and more in monochorionic than in dichorionic placenta