MATERNAL AND PERINATAL OUTCOMES IN ECLAMPSIA IN A REFERRAL HOSPITAL IN NORTH EAST INDIA

Swati Sharma*, Arohan Sapkota, Angelica Laithrakpam and Prof. L. Ranjit Singh

ABSTRACT

Eclampsia continues to be a major health problem, particularly in developing countries that includes INDIA, contributing significantly to maternal and perinatal morbidity and mortality. We conducted a study to establish the incidence of eclampsia and the associated maternal and perinatal outcomes among eclamptic patients admitted to our department. A descriptive cross-sectional study of all women presenting with eclampsia was performed through October 2012 to September 2013. Twenty two patients presented with eclampsia and 14 cases presented with imminent eclampsia. Out of a total 11512 deliveries during the study period (incidence of 1.91 per 1000 births and 1.21 per 1000 births). Maternal and perinatal case fatality rates were 2(5.5%) and 9(25%) respectively. The cause respectively for both maternal death was pulmonary oedema. There were 9 perinatal deaths, seven out of which were IUD and two were still born babies. Eight babies had low-birth weight 10(22.3%). The high incidence of eclampsia and its complications during this study period may indicate the need for earlier and more meticulous intervention at both the clinic and hospital levels.

Keywords: Eclampsia, Maternal outcome, Perinatal outcome.