A STUDY ON OUTCOME OF ANTEPARTUM ECLAMPSIA. AN ANALYSIS OF FACTORS CONTRIBUTING TO ZERO MATERNAL MORTALITY IN AN INSTITUTE

Dr Naima Fathima

Volume : V, Issue : I, January - 2016

A STUDY ON OUTCOME OF ANTEPARTUM ECLAMPSIA. AN ANALYSIS OF FACTORS CONTRIBUTING TO ZERO MATERNAL MORTALITY IN AN INSTITUTE

Dr Naima Fathima

Abstract :

Eclampsia is a serious and preventable complication of Preeclampsia contributing significantly to serious maternal morbidity and mortality. This is a retrospective study done between July 2014 to June 2015 (1 year) at a District level, teaching hospital. Majority of the women were Primi, unbooked and 36weeks or more into their pregnancy. All received MgSO4 and antihypertensives. 80% of the women were delivered within 12hrs of convulsions. All the women were delivered within 24 hours of onset of convulsions. 25% had vaginal delivery. 75% (24) had Emergency Caesarean Section. Perinatal mortality was 15%. There were no maternal deaths. Though early screening for Preeclampsia with regular antenatal checkups is ideal to prevent Eclampsia, it may not be achievable due to remote locations, lack of transportation and illiteracy. Timely referral, MgSO4, antihypertensives, delivery within 12hours after convulsions and multidisciplinary management can ensure good outcome in Eclampsia.