Eclampsia-scenario in a hospital- a ten years study

Abstract

This cross sectional record based institutional study was conducted in the Department of Obstetrics & Gynaecology, Burdwan Medical College, Burdwan over ten years (1999-2008) aiming analysis of eclamptic mothers for evaluation of maternal and perinatal outcome with different anticonvulsant medications. Total 5991 pregnant mothers with eclampsia admitted in the inpatient department of the tertiary care teaching hospital were recruited for the study, irrespective of their previous antenatal check up history. Subjects with known seizure disorders were excluded from the study. The subjects were managed according to standard regimens (Menon, Ph-sodium, diazepam & magnesium sulphate) and results were documented in standardised format. Case fatality rate, mean induction delivery time & birth-weight, perinatal mortality rates were recorded. Study reveals that the incidence of eclampsia <20 years was 6.97% and majority (5.41%) came from rural areas. Eclampsia was noted primarily in primigravida (7.43%) and unbooked (6.41%) mothers. Ante partum eclampsia predominated (64%) and incidence of caesarean section was 22.25%.The overall case fatality rate was 6.05% and eclampsia contributed 27.85% of all maternal deaths during the last two years of the study period. The overall incidence of low birth weight baby was 26.96% and perinatal mortality was 30.33% (1411/4651).The incidence of perinatal mortality and low birth weight babies are lower in the last 4 years when compared to earlier studies. Proper socio-demographic assessment of pregnancy with eclampsia, planned delivery, shorter induction delivery interval, good control of convulsion by magnesium sulphate, intensive intranatal monitoring causes less maternal and perinatal morbidity and mortality. DOI: http://dx.doi.org/10.3329/bmrcb.v37i2.8437 BMRCB 2011; 37(2): 66-70

Maternal and Neonatal outcome in eclampsia in a tertiary care hospital in India

“…Unbooked pregnancy is a high risk factor for eclampsia as proved in various studies. Vijayasree et al (2015), Pal A et a (2011) and Tan K H et al (2006) had 64.3%, 77.5% and 64.3% unbooked cases respectively which was comparable with the present study [20] .…”

Should magnesium sulfate be administered to women with mild pre‐eclampsia? A systematic review of published reports on eclampsia

“…Finally, 59 articles (20 from high‐income, 30 from middle‐income and nine from low‐income countries) were eligible for this review (Fig. ) …”

“…Figure shows the summary of all the studies that reported type of eclampsia at three levels (antepartum, intrapartum and post‐partum) . Out of 18 488 eclampsia cases, the proportion of antepartum, intrapartum and post‐partum eclampsia was 59%, 20% and 21%, respectively.…”

Clinico-epidemiological profile of eclampsia patients admitted in an urban tertiary care hospital of West Bengal: a record based study

“…If we see the time trend of eclampsia patients came in 2015, it can be concluded that in the month of January, October, November, December there were more number of eclampsia patients than the rest of the months ( Figure 1). 4,7,[13][14][15][16][17] Present study revealed that almost 40.7% were un-booked cases suggesting irregular antenatal care, but the study conducted by Pal et al found much lesser proportion whereas Pradeep et al (88%) and Sunita et al (95%), Das (90.09%), Singh et al (90.5%) found much higher proportions. 6,4,13,9,17 Eclampsia was common in young pregnant woman who were less than 25 years (80.9%) in the present study, which was comparable to findings of 4,14,9,7,17,15 Eclampsia was more in Primi-gravida women (68%).…”