MATERNALAND FOETAL OUTCOME IN SEVERE PREECLAMPSIAAND ECLAMPSIA IN A TERTIARY CARE RURAL HOSPITAL, KARNATAKA, INDIA.

Abstract

INTRODUCTION: Preeclampsia and eclampsia are a multisystem disorder occurring during pregnancy, complicating 3-8% of pregnancies accounting 10-15% of maternal and neonatal mortality and morbidity. AIMS AND OBJECTIVES: The aim is to study severe preeclampsia and eclampsia and associated maternal and foetal outcomes at a rural tertiary health care centre. MATERIALS AND METHODS: This is a prospective cohort study conducted at Sri Adichunchanagiri Institute of Health Sciences and Research Centre, B.G Nagara, Karnataka from July 2018 to December 2019. Patients included in the study will be as per inclusion and exclusion criteria. Patients with severe preeclampsia and eclampsia will be included by thorough history taking and data will be entered in Microsoft Excel and outcomes will be analysed using Epi Info software. RESULTS: Out of 3068 deliveries conducted, 157 cases were diagnosed with severe preeclampsia and eclampsia. Incidence of severe preeclampsia being 4.7%(n=146), and that of eclampsia (n=11, 0.3%). Majority belonged to age group 21-25years (47.1%), 90(57.3%) were Primigravida. Preterm deliveries before 32 weeks accounted 21.6%(n=34), while before 34 weeks were 29.9%(n=47). A total of 29.4% preterm deliveries (n=109) were observed. Onset of eclampsia was noted mostly in antepartum period accounting 54.54%(n=6) of total eclampsia case report, 47.13% (n=74) were started on Pritchard’s regimen. Caesarean section was undertaken in 36.9%(n=58) patients with IUGR being common indication (n=19, 32.7%). IUD was noted in 7.6%, LBW in 75.15% CONCLUSION: The importance of continued efforts in monitoring and reviewing the line of treatment with better antenatal care, early recognition and hospital treatment of patients can decrease the incidence rate of severe preeclampsia and eclampsia.