Kanchan Rani 1 , Mukesh Kumar Prasad 2 , Vandana Bisht
BACKGROUND Eclampsia is very common obstetric emergency and major cause of both maternal and perinatal morbidity and mortality in India. AIM The aim of study was to evaluate its incidence, clinical profile and maternal and perinatal morbidity and mortality associated with it in our hospital. MATERIALS AND METHODS A retrospective study was conducted in Government medical college, Haldwani from August 2014 to July 2015 for a period of one year. Out of 3432 deliveries a total of 53 cases of eclampsia were admitted .Cases were studied with respect to age, parity, period of gestation, blood pressure at the time of admission, severity of proteinuria ,maternal complications and mortality, mode of delivery and perinatal outcome. RESULTS Incidence of eclampsia in our study was 1.45%. Majority of patient were primigravida (62.26%) It was more common in age group of 21 to 25 years (43.39%) followed by age group of 26 to 30 years (26.41%).In most of patient first episode of convulsion occurred at term pregnancy with gestational age more than 37 weeks in our study (52.83%).Among 53 patients of eclampsia 48 presented with antepartum eclampsia (90.57%) and 5 presented as postpartum eclampsia (9.43%). There was no case of intrapartum eclampsia in our study. Most common mode of delivery was Lower Segment Caesarean Section (62.26%) in our study. Among 53 cases of eclampsia 3 patient had pulmonary oedema, 3 patient developed postpartum pyrexia and 4 patient had placental abruption. In one case postpartum haemorrhage occurred and one patient was in acute renal failure. There was one maternal mortality in our study. 6 patient had intrauterine foetal death (11.32%). 25 had preterm delivery (47.16%) and 16 newborns were of low birth weight less than 2.5 Kilograms (30.19%). Most patient who developed eclampsia were unbooked or had irregular or no antenatal check-up (94.33%). CONCLUSION Improvement in antenatal care and neonatal facilities is of paramount importance in decreasing the incidence of eclampsia and improving maternal and perinatal outcome
