CAESAREAN VERUS VAGINAL DELIVERY IN THE MANAGEMENT OF ECLAMPSIA.

Abstract

Objective: To compare the results of vaginal delivery and caesarean section in the management of eclampsia in terms of maternal, fetal, morbidity and mortality. Study Design: This is a comparative study. Setting: It was carried in Gynae Unit I of Allied Hospital, Faisalabad, Period: From August 1999 till required sample was complete. Material and Methods: Hundred patients presenting to labour room with history of fits and hypertension were included in the study. Patients were divided into two groups. Group A included those patients under going L.S.C.S Group B included those undergoing vaginal delivery. Diagnosis was made on history examination and laboratory findings. Results: It was seen that maternal morbidity and mortality was low in patients undergoing vaginal delivery. There was no mortality in group B whereas in patients who had undergone L.S.C.S 6 expired. The need for ventilatory support was increased in group A (12 patients landed in ICU because of delayed recovery from anaesthesia). In group B no one needed ventilatory support. Those patients undergoing LSCS required more time to attain consciousness as compared to those undergoing vaginal delivery. Those undergoing LSCS required antihypertensive drugs for longer duration as compared to other group. The duration of hospital stay was decreased in patients of vaginal delivery. Conclusion: According to study carried out in Allied Hospital showed a decrease in maternal morbidity and mortality in patients undergoing vaginal delivery.