Maternal and perinatal outcome in preeclampsia in primigravida in a tertiary care centre

Abstract

Background: Maternal and perinatal outcome in preeclampsia in primigravida in a
tertiary care centre.
Aim: The objective of the present study was to study the maternal and fetal outcome
in patients with severe preeclampsia in a tertiary care centre. Study Design:
Prospective Study Study Period: From January 2009 to December 2010 over a period
of one year. Material and Method: Total 150 women with severe preeclampsia and
eclampsia were included in the study according to the inclusion and exclusion
criteria, who were admitted in obstetric emergency unit.Results: In present study
77.85% cases were unbooked and referred to this centre. Out of 140, 91 patients
(65%) are between 20–30 year of age group. Majority of patients 75 (53.57%) were
primigravida. Majority of patient were preterm 96(68.57%). Out of 140 patients, 87
(62.14%) patients were referred for convulsions and 45.71% with high blood
pressure. Cesarean section was done in 49.28% patient for failed induction (46.3%)
or fetal distress (24.7%).vaginal delivery occured in 38.57%. The mean delivery
was6.8 hours. Maternal complications included PPH in 51, abruption placenta in 11
and DIC in 19. Out of 140 cases, 106 were live birth,24 intrauterine deaths, and 12
still births. Low birth weight babies were 47.85% and NICU admission required in
59.28% cases. There were 10(7.14%) cases of maternal death. perinatal loss was
34.28%.Conclusion: A Proper antenatal care, early intervention and prompt treatment
is required to reduce maternal and perinatal outcome in patients with severe
preeclampsia and eclampsia.
Keywords: obstetric outcome, eclampsia, severe preeclampsia, maternal morbidity,
perinatal morbidity