DOI: https://doi.org/10.36347/sjams.2025.v13i12.016

Pages: 2047-2051

Introduction: Hypertensive disorders of pregnancy, particularly preeclampsia and eclampsia, are major contributors to maternal and perinatal morbidity and mortality worldwide, with heightened impact in low- and middle-income countries like Bangladesh. Early detection through regular antenatal care (ANC) is crucial for preventing severe maternal and fetal complications. However, ANC utilization remains suboptimal, especially in rural areas, increasing the risk of adverse outcomes such as preterm delivery, intrauterine growth restriction, and maternal mortality. Objective: This study aims to evaluate the association between regular antenatal checkups and the occurrence of maternal and fetal complications among women with preeclampsia and eclampsia. Patients and Methods: A cross-sectional study of 145 women diagnosed with preeclampsia or eclampsia was conducted. Socio demographic data and ANC attendance history was collected. ≥4 ANC visits were considered regular. Associations between ANC patterns and maternal/fetal complications were evaluated. Results: The mean age was 26.8±5.2 years; 62.8% resided in urban areas; 70.3% were housewives; 55.2% had secondary or higher education. Regular ANC attendance was noted in 63.4% of participants. Complication rates were significantly higher among women with <4 ANC visits: preterm delivery (64.2% vs 28.3%, p<0.001), IUGR (45.3% vs 19.6%, p=0.002), ICU admission (30.2% vs 9.8%, p=0.001), HELLP syndrome (17.0% vs 4.3%, p=0.014), and perinatal death (13.2% vs 3.3%, p=0.045). Conclusion: Regular ANC attendance (≥4 visits) significantly mitigates the risks of maternal and fetal complications associated with preeclampsia and eclampsia. Strengthening community-based ANC outreach and accessibility is essential to improve outcomes in vulnerable groups.