DOI: 10.36347/sjams.2019.v07i11.050

Pages: 3728-3731

Background: Hypertensive disorders of pregnancy are a leading cause of maternal and perinatal mortality and morbidity worldwide. In general hypertensive disorders of pregnancy may complicate 10% of pregnancies in general population [1]. Preeclampsia and eclampsia account for half of this cases worldwide [2]. Methods: A cross sectional study was carried out in a tertiary care hospital on 200 women with eclampsia over a period of 1 year. Only those cases with convulsions beyond 20 weeks associated with or without signs of preeclampsia during antepartum, intrapartum or within 7 days postpartum were taken while convulsions attributable to other causes were excluded. Investigations and management were carried out as per protocol. Fetomaternal outcomes and risk factors influencing it were analyzed. Results: Out of 200 cases, there were 148(74%) antepartum eclampsia cases, 32(16%) intrapartum eclampsia cases and 20(10%) postpartum eclampsia cases. Out of 200 patients, there were 17 cases(8.5%) of sepsis, 16 (8%) cases of haemorrhage (PPH and abruption placentae),18(9%) cases of pulmonary edema,6(3%) cases of cerebrovascular accident, 5 (2.5%) cases of acute kidney injury,1(0.5%) case of aspiration pneumonitis,1(0.5%) case of Multiorgan Dysfunction Syndrome and 2(1%) case of HELLP syndrome. There were 27 (13.5%) maternal deaths due to eclampsia related complications such as pulmonary edema(15 cases) CVA(6 cases), sepsis (3 cases), PPH (2 cases) and MODS (1 case). Out of 200 cases, 46(23%) underwent LSCS. There were 172(86%) livebirths, 18(9%) stillbirths, 10(5%) IUFD and 19 neonatal deaths. Overall perinatal death due to eclampsia was 23.5%. Among neonatal complications, meconium staining was seen in 53 (26.5%) cases, Apgar score less than 5 minutes in 35(17.5%) cases, NICU admissions in 108 (54%) cases and neonatal death was observed in 19(9.5%) cases. Conclusion: Preeclampsia and eclampsia continue to be a significant cause of fetomaternal mortality and morbidity. Early d