Title: Pregnancy outcome in severe preeclampsia and eclampsia patients: A study from North Indian tertiary health care institution

Authors: Rohit Dogra, Anu Bala Chandel

 DOI: https://dx.doi.org/10.18535/jmscr/v8i6.59

Abstract

Introduction: Hypertensive disorders of pregnancy comprising of pre-eclampsia and eclampsia are a major cause of adverse pregnancy outcomes. Neurological manifestations of pregnancy induced hypertension are the most common cause of maternal and foetal morbidity and mortality. Cranial neuro-imaging reveals focal regions of symmetric hemispheric oedema; with parietal and occipital regions getting most commonly affected.

Methods: The study was conducted among 65 antenatal women diagnosed with pre-eclampsia and eclampsia at gestational age >20 weeks in the Department of Obstetrics and Gynaecology, Kamla Nehru State Hospital for Mother and child IGMC Shimla.

Results: The maternal age range in majority (77%) of subjects with preeclampsia and eclampsia in the present study was 20-29 years. Most of the subjects in our study were primigravidae (58.46%). In our study 17.18% of the mothers presented with IUD at the time of admission  and 14.51% had still births

Conclusion: The timely intervention may lower the morbidity and mortality among mothers with severe preeclampsia and eclampsia, which accounts for one tenth of all maternal deaths.

Keywords: Antenatal women, Pregnancy induced hypertension, Neuro-imaging.

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