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Maternal Diastolic Blood Pressure Affecting Adverse Neonatal Outcomes of Eclampsia in A Rural Tertiary Care Hospital in Eastern India

Santanu Bandyopadhyay , Santanu Bandyopadhyay1 , Ashok Kumar Datta2 , Medhatithi Burman3

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Indian Journal of Maternal-Fetal & Neonatal Medicine 7(1):p 23-27, JAN-JUN 2020. | DOI: http://dx.doi.org/10.21088/ijmfnm.2347.999X.7120.3

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Santanu Bandyopadhyay, Ashok Kumar Datta, Medhatithi Burman. Maternal Diastolic Blood Pressure Affecting Adverse
Neonatal Outcomes of Eclampsia in A Rural Tertiary Care Hospital in Eastern India. Indian J Matern Fetal Neonatal Med.
2020;7(1):23–27.

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Received : N/A         Accepted : N/A          Published : N/A

Abstract

 

Context: Eclampsia is a serious complication of pregnancy that
not only affects maternal health but also influences the prospect of
neonatal outcomes. Aims: The study was carried out to identify
different types of adverse neonatal outcomes of eclamptic mothers and
to evaluate correlation of those outcomes and physical parameters of
neonates with maternal diastolic blood pressure (DBP) recorded at the
time of admission. Design and Setting: A prospective, cross-sectional,
observational, epidemiological study was conducted from April,
2012 to March, 2013 at a tertiary-care Government teaching hospital
catering rural population of Eastern India. Materials and Methods:
The participants comprised of 100 consecutive admitted eclamptic
mothers and neonates born to them. Correlation between maternal
DBP with each adverse neonatal outcome was studied and analysed in
SPSS software (version 25). Results: Neonatal outcomes were observed
as preterm (40%), low birth weight (LBW) (60%), intra-uterine growth
retardation (IUGR) (12%), birth asphyxia (33%), hypoxemic ischemic
encephalopathy (HIE) (8.8%), early onset sepsis(EOS) (9.9%), still
birth (SB) (9%), early neonatal death(END) (5.5%). Significant inverse
correlation was observed between the neonatal physical parameters
like body weight, gestational age, Apgar scores (1 min and 5 minutes)
and DBP of eclamptic mothers on admission. Maternal DBP ≥ 100
mmHg on antenatally to keep DBP to less than 100 mmHg have a
favourable prospect on neonatal outcomes of eclampsia in rural areas.
Keywords: Eclampsia; Neonatal outcomes; Diastolic Blood
Pressure (DBP).

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Cite this article

 

Santanu Bandyopadhyay, Ashok Kumar Datta, Medhatithi Burman. Maternal Diastolic Blood Pressure Affecting Adverse
Neonatal Outcomes of Eclampsia in A Rural Tertiary Care Hospital in Eastern India. Indian J Matern Fetal Neonatal Med.
2020;7(1):23–27.

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DOI: http://dx.doi.org/10.21088/ijmfnm.2347.999X.7120.3

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