ECLAMPSIA

MATERNAL MORBIDITY AND MODE OF DELIVERY IN THE MANAGEMENT

Abstract

Objective: To determine the maternal morbidity and mode of delivery in eclamptic
patients. Study design: Descriptive studies (cases series). Duration of study: One year from
1.3.2012 to 28.2.2013. Setting: Dept of Obstetrics and Gynecology Unit-III Liaquat University
Hospital Hyderabad. Patients and methods: This study included 97 eclamptic patients. The main
variables of interest were maternal age, parity, booking status, gestational age, mode of delivery
and maternal complications like HELLP syndrome, pulmonary edema, post partum hemorrhage,
renal failure, neurological deficit and ICU admission. Result: During the study period 2839
obstetrical patients were admitted with 97 cases being eclamptic give an incidence of 3.4%.
Majority were unbooked 94.8%, Primigravida 58.8% and ≤ 25 years of age 68%. Complications
were seen in n 50.51% and 12.4% patients have more than one complications. Vaginal route was
mode of delivery in 53.60% and cesarean section was in 44.32% patients. Conclusions:
Eclampsia still responsible for significant maternal morbidity and mortality. Eclampsia can only
be successfully managed by early detection and prompt treatment of pre-eclampsia