Maternal and Neonatal Outcomes in Preeclampsia in Yenepoya Medical College Hospital From 2009–2013–A Retrospective Study

DR SAUDA; DR SADIQUINNISA; DR SMITHA .B. RAO; DR RAJAGOPALA

Volume : III, Issue : X, October - 2014

Maternal and Neonatal Outcomes in Preeclampsia in Yenepoya Medical College Hospital From 2009–2013–A Retrospective Study

Dr Sauda, Dr Sadiquinnisa, Dr Smitha . B. Rao, Dr Rajagopala

Abstract :

OBJECTIVE: TO FIND OUT THE MATERNAL AND NEONATAL OUTCOME IN PREECLAMPSIA IN YENEPOYA MEDICAL COLLEGE HOSPITAL FROM 2009–2013 STUDYDESIGN: IT IS A RETROSPECTIVE CASE SERIES STUDY. MATERIALANDMETHODS ALL THE PATIENTS ADMITTED IN YENEPOYA MEDICAL COLLEGE HOSPITAL FROM 2009–2013 WITH THE DIAGNOSIS OF PREECLAMPSIA WERE ANALYSED FROM THE MEDICAL RECORDS SECTION . 250 CASE SHEETS WERE ANALYSED RESULTS: THE PATIENTS RECORDS WERE ANALYSED SHOWED THAT MOST OF PATIENTS WERE BOOKED BUT NOT ATTENDED REGULAR ANC (80% ) ,UNBOOKED (20%),ILLITERATE(6%) ,LITERATE(94%).DISTRIBUTED IN AGE GROUP OF 21–30 YRS (80%) , 30–40YRS(20%),PRIMIGRAVIDA(69.6%) , MULTIGRAVIDA (30.4%) ,PERIOD OF GESTATION37 WEEKS PERIOD OF GESTATION(20%). HEADACHE WAS THE MOST COMMON SYMPTOM (80%) .SPONTANEOUS(80%,) ,PG E2( 20%) . MODE OF DELIVERY WAS VAGINAL(24%) OF WHICH INSTRUMENTAL (3.2%) ,LSCS( 72%) .MATERNAL COMPLICATIONS WERE POSTPARTUM HEMORRAGHE (1.6%), ABRUPTIO PLACENTA (8%) ,RENAL DYSFUNCTION (17.2%) ,PULMONARY OEDEMA (0.8%), HELLP SYNDROME (4%),DIC(0.8%),MATERNAL MORTALITY(0.4%).FETAL COMPLICATIONS WERE PRETERM (76%) BIRTH ASPHYSXIA (1.6%) IUGR (4%) NICU ADMISSION (80%) ,PERINATAL MORTALITY (4%). CONCLUSIONS: THIS STUDY IMPLIES THAT THE PATIENTS WERE LITERATE BUT DID NOT COME FOR REGULAR ANTENATAL VISITS .WE SHOULD IMPRESS UPON THE IMPORTANCE OF ANTENATAL VISITS AND MAKE THE PEOPLE AWARE OF HYPERTENSION IN PREGNANCY ESPECIALLY ABOUT PREECLAMPSIA AND MATERNAL AND FETAL COMPLICATIONS AND CAN BE PREVENTED .