Eclampsia, Study of 342 Cases

Miguil, M.; Chekairi, A

doi:10.1080/10641950701826612

Cited by 39 publications

(29 citation statements)

References 16 publications

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“…10 Tufnell et al reported as high as 72% caesarean section rate in BJOG. 12 Caesarean section rates of 71% and 78% respectively were reported by Miguel M et al and Dissanayake VH et al 13,14 The high rate of caesarean section in the present study is due to more than 36 % cases being previous caesarean section and also due to emergency delivery approach taken to prevent further maternal and fetal complications due to severe preeclampsia or eclampsia especially in cases where the cervix is unfavourable for induction.…”

supporting

confidence: 49%

Fetomaternal outcome in severe preeclampsia and eclampsia: a retrospective study in a tertiary care centre

Pillai

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Hypertensive disorders of pregnancy are a leading cause of maternal and perinatal mortality and morbidity worldwide. In India, they account for the third most important cause of maternal mortality. The objectives of this study were to evaluate maternal and perinatal outcome and complications in cases with severe preeclampsia and eclampsia. Methods: A retrospective study was carried out on 110 women with severe preeclampsia and eclampsia in a tertiary care referral centre over a period of 15 months. Only those cases with initial B.P reading of ≥160/110 mm Hg or presenting with eclampsia were included in the study. Investigations and management were carried out as per standardized department protocol and maternal and fetal outcomes were analyzed. Results: 42% of the cases were in the age group of 26-30 years, nearly 61% were primigravidae and the majority (64) were referred from peripheral hospitals. Liver function tests were deranged in 19% of the patients and 17% had abnormal renal function. Nifedipine was the most commonly used antihypertensive and magnesium sulphate was the anticonvulsant used in all the cases. Lower segment caesarean section was the mode of delivery in 64.5% of the cases. Commonest maternal complication was atonic PPH. There was no maternal mortality but there were 3 maternal near-miss cases due to DIC. 65% of the cases had a preterm delivery and 39% of the babies needed NICU admission. There were 10 neonatal deaths. Conclusions: Accessible health care and health education and awareness regarding antenatal check-ups for all women will lead to early detection of severe preeclampsia. Prompt treatment and management of its complications will certainly improve the maternal and fetal outcome.

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supporting

confidence: 49%

Fetomaternal outcome in severe preeclampsia and eclampsia: a retrospective study in a tertiary care centre

Pillai

2017

Int J Reprod Contracept Obstet Gynecol

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“…In the present study, rate of caesarean delivery and induction of labour were 82% and 2% respectively. Similar studies by Oladokun A et al, [21] Miguil M et al [22] and Dissanayake VH et al [23] revealed caesarean section rates as 60%, 71% and 78% respectively. Masodkar et al (1985) [24] also observed a low Apgar score in toxaemia of pregnancy.…”

Section: Discussionsupporting

confidence: 83%

Study of the Effects of Hypertension on Pregnant Mothers and Their New-Born Babies in a Medical College in Kolkata

Pramanick¹,

Panda²

2017

jemds

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BACKGROUNDHypertension in pregnancy not only affects the mother adversely, but also the new-born babies. Hypertension is one of the most common medical disorders complicating pregnancy. The World Health Organisation (WHO) systematically reviews maternal mortality worldwide and in developed countries; 16 percent of maternal deaths were reported to be due to hypertensive disorders (Khan, 2006). This proportion is greater than three other leading causes that include haemorrhage-13 percent, abortion-8 percent and sepsis-2 percent. Aims and Objectives-In this study, we intend to determine the adverse maternal and neonatal outcomes of hypertensive mothers and their new-born babies.

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“…However, they did not analyze the presence or absence of HELLP syndrome. Recently, Schutte et al [52] and Miguil and Chekairi [49] reported similar outcomes. Therefore, when eclampsia-related death occurs, it is likely to be associated with HELLP syndrome rather than seizure alone.…”

Section: Discussionmentioning

confidence: 77%

Maternal deaths due to eclampsia and HELLP syndrome

Gracia¹

2008

Intl J Gynecology & Obste

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Eclampsia, Study of 342 Cases

Abstract: This disease remains a veritable health problem in our country. We need to improve antenatal follow-up by increasing mothers' awareness and by facilitating access to medical care.

Cited by 39 publications

References 16 publications

Fetomaternal outcome in severe preeclampsia and eclampsia: a retrospective study in a tertiary care centre

Fetomaternal outcome in severe preeclampsia and eclampsia: a retrospective study in a tertiary care centre

Study of the Effects of Hypertension on Pregnant Mothers and Their New-Born Babies in a Medical College in Kolkata

Maternal deaths due to eclampsia and HELLP syndrome

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