Volume : IV, Issue : VII, July - 2015

STUDY OF FETOMATERNAL OUTCOME IN CASES OF PREECLAMPSIA

Dr Juhi Patel, Dr Nishita Desai, Dr Shital T Mehta

Abstract :

 Preeclampsia, which occurs only in the presence of placenta, continues to be a major cause of maternal and perinatal morbidity and mortality world wide. Its cause remains unknown. The present study was conducted in our institute in 100 obstetric patients admitted with pregnancy induced hypertension from June 2014 to May 2015. All patients admitted with the diagnosis of Preeclampsia were included in the study. AIMS AND OBJECTIVES: To evaluate the importance of specific antenatal care in patients of Preeclampsia, To evaluate the clinical presentation in cases of preeclampsia, To study the distribution pattern of eclampsia amongst variable group of patients and the way of presentation to the hospital in the outcome with modern management of eclampsia, To study the ultimate maternal and fetal outcome. DISCUSSION:Incidence of preeclampsia in present study is 13.8%. 71% of patients were primiparous, thus it is emphasized that Preeclampsia is almost exclusively a disease of nulliparous patients.20 patients had mild preeclampsia and 80 had severe preeclampsia.60% were emergency cases and 40% were registered cases.Highest number of were detected at 28–37 weeks of pregnancy.(87%)Out of 20 patients of mild preeclampsia, 11 delivered vaginally and 9 required caesarean section. Out of 80 patients of severe preeclampsia, 45 delivered vaginally and 34 required caesarean section. Most common indication for CS was Abnormal Doppler ( due to uteroplacental insufficiency)The most common complication of preeclampsia was eclampsia ( 36%). Out of 36 cases of eclampsia, 34 cases have responded very well with Pritchard’s regimen. Only 2 cases required other anticonvulsant for the control of convulsion.Out of 97 births, 13 were still birth/IUD, 18 were neonatal deaths. So total perinatal deaths were 31.95% . Maternal mortality was 2% in the present study. CONCLUSION: Preeclampsia is not a totally preventable disease but its severity can be decreased by proper antenatal care. Early diagnosis of cases of preeclampsia,recognition of high risk cases, their proper management and selective termination will improve maternal and perinatal outcome. Termination of pregnancy is the primary treatment of severe Preeclampsia and eclampsia. Induction with oxytocics and prostaglandins decreases the duration of labor.Caesarean section was definite place to improve fetomaternal prognosis. Incidence of complications in caesarean section has become very low due to better operative techniques, proper anesthesia and skillful surgeons. The study suggests that MGSO4 therapy is considered as the best therapy and is very effective in preventing and controlling convulsions in cases of severe Preeclampsia and recurrent convulsion.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr Juhi Patel, Dr Nishita Desai, Dr Shital T Mehta Study of Fetomaternal Outcome in Cases of Preeclampsia. International Journal of Scientific Research, Vol : 4, Issue : 7 July 2015

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