DOI: 10.36347/sjams.2015.v03i08.039

Pages: 2934-2936

To determine the age, parity, gestational age, mood of delivery and perinatal outcome in pregnant women with severe pre-eclampsia. The study covers 1year period, during which 200 patients with severe pre-eclampsia were selected and were treated and delivered. The study was done for age, parity, gestational age, mode of delivery and perinatal outcome including birth weight and frequency of stillbirths. Among the study a high proportion (56.0%) was nulliparous women. Similarly, severe pre-eclampsia was encountered at a high percentage (45.5%) in women at the 20-24 years of their reproductive age, and more women with severe pre-eclampsia delivered at 37weeks or more (80%) . Spontaneous vaginal deliveries were less frequent in women with severe pre-eclampsia (34.5%) as compared with caesarean section (60.5%). Caesarean section was mostly due to fetal distress (44.9%). Instrumental deliveries with spontaneous labour amounted to 10% in women with severe pre-eclampsia. The perinatal outcome with severe pre-eclampsia shows 5.5% of fetal demise, out of which stillbirths (2.5%) and IUD (3%). In our study we found a high proportion of severe preeclampsia cases occurring among nulliparous women and those at the extreme ends of the reproductive age. There is also an increased incidence of caesarean section among the severe pre-eclampsia and were mostly due to fetal distress.