Epidemiology and fetomaternal outcomes in cases of imminent eclampsia and eclampsia- retrospective study


Article type :

Original Article

Author :

Manjusha Jindal, Dweep Jindal, Viraj Naik, Mrinalini Sahasrabhojanee, Guruprasad Pednekar

Volume :

8

Issue :

1

Abstract :

Context: The most common complication in pregnancy is Hypertension complicating 12-22% of all pregnancies. Among these pre-eclampsia is the leading cause constituting 10% of all pregnancies worldwide. In hospital practice in India, the incidence of pre-eclampsia varies from 5% to 15% and of eclampsia about 1.5%. According to WHO report 2008, eclampsia constitutes for 12% of all maternal deaths in developing countries. Thus it is important to study its Epidemiology and Management strategies. Settings and Design: Retrospective descriptive data based study. Materials and Methods: The data is collected after reviewing the medical records of all gravid women with hypertensive disorder of pregnancy who presented between July 2010–July 2014. Data was collected on predesigned, standardised proforma of National Eclampsia Registry. Statistical analysis used: Statistical analysis was performed using SPSS version 22. Data was expressed as Mean, percentages, proportions. Chi-square test was used to find association between various categorical variables. p-value Results: During the study period there were 22,591 deliveries. There were 1468 mild and severe preeclampsia cases and 309 imminent eclampsia and eclampsia cases. The proportion of Pregnancy Induced Hypertension (PIH) cases was found to be 7.85% and that of eclampsia 1.36%. 74.34% of the patients belonged to age group between 20-30 years. 69.11% patients were primigravidas with significant corelation to parity (p value

Keyword :

 Preeclampsia, Imminent eclampsia Eclampsia, HELLP syndrome, Fetomaternal outcome.