Maternal and perinatal outcome in women with Eclampsia: A retrospective study

Murthy, Madhumita; Nigam, Rakesh; Kujur, Shweta

doi:10.17511/ijmrr.2016.i04.28

Cited by 3 publications

(7 citation statements)

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“…se ng which was similar to those in other se ngs. In the present study, majority of the pa ents belonged to 20-30 years of age group which was similar to other studies 1 4 14 by Aabidha et al , Kannar et al and Shakya et al Out of 50 pa ents, majority of the pa ents comprising of 37 (74%) were primigravidas in the present study which was similar to [14][15][16] various other studies. Similarly, a hospital based retrospec ve study had shown eclampsia in 84.60% 7 primigravidas.…”

Section: Resultssupporting

confidence: 92%

Maternal and Perinatal outcome in eclampsia at a teaching hospital of Eastern Nepal

Mishra¹,

Pradhan

Pokharel

et al. 2020

Birat J. Health Sci.

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Introduction: Eclampsia is a multisystem disorder with potential life-threatening complications that can result in significant maternal and fetal morbidity and mortality. The case fatality rate of eclampsia is 1.8% in developed countries, 17.7% in India and 13% in Nepal. The incidence of pre-eclampsia and eclampsia is high in developing countries due to hypoproteinemia, malnutrition and poor obstetric facilities. Objective: To assess the maternal and perinatal outcome in patients of eclampsia Methodology: This was a hospital based cross-sectional study where all the patients presenting with eclampsia from June 2019 to November 2020 in the department of Obstetrics & Gynecology, Birat Medical College and Teaching Hospital were enrolled for the study. Data analyzed included various maternal parameters and fetal parameters along with the mode of delivery, outcome of baby, postpartum maternal condition and maternal mortality were noted. Results: Among 6631 deliveries, 50 patients had eclampsia with the incidence of 7.54/1000 deliveries. Thirty four (68%) patients were of 20-30 years of age, 37 (74%) were primigravidas, 36 (72%) from rural areas, 34 (68%) were illiterate, 49 (98%) were low to middle socioeconomic status, 41 (82%) were unbooked and 33 (66%) patients had antepartum eclampsia. Eleven (22%) women developed eclampsia related complications. There were 02 (4%) maternal deaths and the common causes were HELLP Syndrome and pulmonary oedema. Neonatal outcome consisted of live births in 39 (78%) newborns, 03 (6%) were still births, 08 (16%) were birth asphyxia and 15 (30%) were low birth weight. Conclusion: Majority of the patients were young, illiterate, unbooked primi gravidas with poor to average socioeconomic status from rural areas. Majority of the eclamptic women nearly 39 (78%) cases delivered via caesarean section for better neonatal outcome. Two (4%) eclamptic women died as a result of eclamptic complications and three (6%) newborns had neonatal deaths because of low birth weight and prematurity. Adequate antenatal screening, early detection of hypertension, timely referral, and early initiation of treatment and termination of eclamptic patients can help to improve the maternal and perinatal outcomes.

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Section: Resultssupporting

confidence: 92%

Maternal and Perinatal outcome in eclampsia at a teaching hospital of Eastern Nepal

Mishra¹,

Pradhan

Pokharel

et al. 2020

Birat J. Health Sci.

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“…In our study, 86% had no regular antenatal care similar to the study by Murthy et al, 7 where 86.4% of patients were not booked in antenatal period and lack adequate antenatal care. Department of obstetrics and gynecology, in our hospital, receives complicated cases from all the nearby districts, including tribal and rural areas where poor economic status, illiteracy, and distance from the health facilities might be responsible for inadequate use of antenatal care services.…”

Section: Discussionsupporting

confidence: 86%

“…Alam and Akhter 6 also showed higher prevalence of 61.3% of cases in primigravida. Similarly, Murthy et al, 7 showed 67% of primigravida among eclampsia cases.…”

Section: Discussionmentioning

confidence: 80%

Perinatal outcome of babies born to mothers with antepartum eclampsia: A study from tertiary care hospital of Central India

et al. 2022

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Background: Eclampsia is a major cause of perinatal mortality. There is a need for studies that will correlate maternal factors and perinatal outcome, which will provide potential strategies to improve fetal outcomes in pregnancies complicated by eclampsia. Aims and Objectives: This study aims to study perinatal outcome of babies born to mothers with antepartum eclampsia and to correlate outcomes with convulsion delivery interval. Materials and Methods: A study included 200 patients diagnosed and managed as antepartum eclampsia in the Department of Obstetrics and Gynaecology in MGM Medical College, Indore. A detailed pro forma was prepared and was filled with patient’s information, investigations, treatment, and birth details. The final outcome of both, the mother and her newborn, including stillbirths and early neonatal deaths was included in the study and the perinatal outcome was correlated with convulsion delivery interval. Results: Incidence of antepartum eclampsia in our study was 2.1%. About 86.4% of women lack regular antenatal care at health care center. Only 7% of women delivered within 6 h of onset of convulsion. Case fatality rate was found to be 13%. There were 59.5% premature deliveries. Perinatal mortality (stillbirth and early neonatal deaths) was 42.5%. Significant association was found between convulsion delivery interval and perinatal outcome (P<0.05). Furthermore, association between use of multiple antiepileptic agents and perinatal outcomes was statistically significant. Conclusion: Eclampsia being a major cause of perinatal mortality need early diagnosis, prompt referral from peripheral health centers, and timely intervention for improvising both perinatal and maternal outcomes.

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“…Antepartum eclampsia was seen in the majority, accounting for 90.9%. In the study by Murthy et al 81.8% had antepartum eclampsia [9] . and 87% had anterpartum eclampsia in a study conducted by Dr. Archana et al [8] .…”

Section: Discussionmentioning

confidence: 89%

“…Primigravidas accounted for 52.27% of our study population. In a study conducted by Murthy et al primigravidas accounted for 70% of the cases [9] . Antepartum eclampsia was seen in the majority, accounting for 90.9%.…”

Section: Discussionmentioning

confidence: 94%

Maternal and perinatal outcome of eclampsia at a tertiary hospital: A retrospective analysis

Fernandes¹,

G²

2021

Int. J. Clin. Obstet. Gynaecol.

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Background: Eclampsia is a life threatening emergency, and continues to be a major cause of maternal and perinatal mortality and morbidity. The purpose of our study was to analyse the cases of eclampsia in a tertiary care centre and to study the maternal and perinatal outcome. Methodology: This was a retrospective study of 7 Years, from January 2013 to December 2019. Case records of all eclamptic patients during this period were analyzed. Results: The incidence of eclampsia in our hospital was 0.7%. Majority of the patients were less than 25 years, and 95% were unbooked. Antepartum eclampsia accounted for 90% of cases. Main maternal complications included PPH, Abruption and HELLP syndrome. There was no maternal mortality. Conclusion: Eclampsia is still a serious complication of pregnancy. Timely referral to higher centre, appropriate management of pre-eclampsia can prevent eclampsia.

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Maternal and perinatal outcome in women with Eclampsia: A retrospective study

Cited by 3 publications

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Maternal and Perinatal outcome in eclampsia at a teaching hospital of Eastern Nepal

Maternal and Perinatal outcome in eclampsia at a teaching hospital of Eastern Nepal

Perinatal outcome of babies born to mothers with antepartum eclampsia: A study from tertiary care hospital of Central India

Maternal and perinatal outcome of eclampsia at a tertiary hospital: A retrospective analysis

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