FETOMATERNAL OUTCOME OF ECLAMPTIC PATIENTS IN DIFFERENT PRIVATE HOSPITALS, DHAKA

Dr. Aklima Akter*, Dr. Fowzia Yasmin, Dr. Md. Rafiqul Alam Talukder, Dr. Md. Jamshed Alam, Dr. Jakir Hossain Khondaker and Dr. Md. Noor Uddin Talukder

ABSTRACT

Background: Eclampsia is defined as the development of seizures that cannot be attributed to other causes and /or unexplained coma during pregnancy or puerperium in a woman with pre-eclampsia. Eclampsia is a preventable and treatable cause of maternal morbidity and mortality with poor feto maternal outcome in developing countries. Objective: To find out the feto maternal outcome of eclamptic patients. Methodology: The study was a cross sectional observational study conducted in different private hospitals in Dhaka City over a period of 3 years from 1st January 2017 to 31st December 2019. Total 100 patients were included in the study. Inclusion criteria were patients with diagnosis of antepartum, intrapartum and postpartum eclampsia. Exclusion criteria were all cases other than clinically confirmed eclampsia and pre eclampsia. Results: More than half (51.0%) patients had unconscious, 33(33.0%) had raised BP. Majority 41(41.0%) patients had pulmonary edema, 18(18.0%) had CVA, 7(14.0%) had HELLP syndrome. Mean hospital stay was 10.1±2.1 days. Majority 45(45.0%) patients had recovered and 5(5.0%) had died. Majority 67(67.0%) newborns were male. Alive babies were found 77(77.0%) and stillbirth 23(23.0%). Referred to NICU was found 56(56.0%). Prematurity was found 38(67.9%), feeding problem 34(60.7%), ventilator support 21(37.5%) and jaundice 4(7.1%). Majority 42(42.0%) patients had jaundice, 35(35.0%) had respiratory distress. Conclusion: Unconscious and raised BP were common maternal morbidities. Maternal complications were pulmonary edema, CVA, HELLP syndrome and acute renal failure. More common fetal morbidities were jaundice, respiratory distress, convulsion and septicemia.

Keywords: Eclampsia, Fetomaternal outcome, Magnesium sulphate.