DOI: 10.36347/sajb.2016.v04i09.011

Pages: 756-760

Eclampsia continues to be a major problem contributing significantly to high maternal and perinatal morbidity and mortality. The aim of this study is to determine causes of fetomaternal morbidity and mortality in eclamptic women. To assess outcome in relation to no. of convulsions, time between first convulsion and delivery and mode of delivery. A descriptive cross-sectional study of all women presenting with eclampsia to MKCG Medical College, Berhampur was performed from January 2014 to January 2015. Clinical data along with the results of the investigations were collected and analysed. A study of 100 eclamptic patients was done.72% of the cases had antepartum eclampsia. 63% of the cases were referred and 72% cases had inj. MgSo4 before referral. Almost equal no. of patients had caesarean section(46%) and vaginal delivery(48%). Most common causes of maternal morbidity were pyrexia and PPH i.e. 15% each. Acute renal failure occurred in 13% cases followed by pulmonary edema and septicaemia in 9% each. Total 10 cases died, out of which 30% were due to pulmonary oedema, 20% due to PPH with shock and DIC. Case fatality rate was more for multigravida, having antepartum convulsions and more than four convulsions. 60% cases died within 12hrs of admission. Perinatal mortality rate was 29.34%. As time between first convulsion and delivery increased the perinatal mortality also increased.