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Indian Journal of Maternal-Fetal & Neonatal Medicine 4(2):p 145-150, Jul-Dec 2017. | DOI: http://dx.doi.org/10.21088/ijmfnm.2347.999X.4217.8
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Study of Maternal and Perinatal Outcome in Eclampsia
Shradha S. Maka, Senior Resident, Dept. of Obstetrics and Gynaecology, M.R. Medical College, Gulbarga Karnataka 585105, India. , Shradha S. Maka1 , Sangamesh B. Tondare2 , Mahesh B. Tondare3
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Indian Journal of Maternal-Fetal & Neonatal Medicine 4(2):p 145-150, Jul-Dec 2017. | DOI: http://dx.doi.org/10.21088/ijmfnm.2347.999X.4217.8
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Abstract
Aims and Objectives: 1. Study the incidence of eclampsia. 2. Study the maternal and perinatal outcome. Materials and Methods: It is a prospective study of Maternal and Perinatal outcome in 50 cases of eclampsia above 32 weeks of gestation from July 2015 to july 2016 in M.R. Medical College Gulbarga. Patients were examined in labour ward to know the pregnancy outcome and neonates in neonatal intensive care unit. On admission detailed history is taken from the attendant, general physical examination and systemic examination of patient was done. Management includes – General line of management, management of convulsions by pritchard regimen, anti hypertensives, obstetric management – delivery by either vaginal route or cesarean section. All the babies delivered are followed up during early neonatal period for complications. Result: The most common cause of perinatal mortality is prematurity. Incidence of eclampsia is 0.64%, with 2 maternal deaths and 12 perinatal deaths. 36% of patients developed complications. Maternal mortality was significantly high in patients with 6 or more episode of convulsions. Antepartum eclampsia with gestational age less than 36 weeks, BP >160/100, preterm birth, low birth weight babies, low apgar scores influenced adverse perinatal outcome. Conclusion: Eclampsia still remains a major problem in developing countries. It is one of the important cause of maternal and perinatal morbidity and mortality due to lack of proper ANC, low socioeconomic status and lack of education.
Keywords: Eclampsia; Hypertension; Maternal Death; Perinatal Death.
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DOI: http://dx.doi.org/10.21088/ijmfnm.2347.999X.4217.8
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