Maternal Outcomes in Pregnant Women with Eclampsia•

Nasreen Fatima, Sawera

Abstract

Objective

To document the maternal outcomes in women with eclampsia in terms of complications during gestation, intrapartum difficulties and post-delivery consequences including mortality.

Study design

Descriptive case series.

Place & Duration of study

Department of Obstetrics & Gynecology, Jinnah Postgraduate Medical Centre (JPMC) Karachi, from August 2022 to February 2023.

Methods

All pregnant women with eclampsia between 18 to 40-years of age were included through consecutive non probability sampling. They were above 28-weeks of gestation. The data related to maternal outcomes included frequency of placental abruption, need of cesarean delivery, acute renal failure (ARF), HELLP syndrome, postpartum hemorrhage (PPH), disseminated intravascular coagulation (DIC) and maternal death were collected using SPSS software.

Results

A total of 103 women with eclampsia were included. Most (n=61 - 59.2%) of the women were between 18 and 30-years of age. Seventy-five (72.8%) women were primigravida. In twenty-one (20%) women placental abruption was noted, 47 (45.6%) had cesarean deliveries, 14 (13.6%) suffered from HELLP syndrome, seven (6.8%) had disseminated intravascular coagulopathy, 14 (13.6%) had postpartum hemorrhage, while seven (6.8%) died in this series.

Conclusion

Primigravida were more frequently suffered from the eclampsia. Most of the women were in younger age group. Nearly half of the women required cesarean section. A high maternal mortality was observed in this study.

Key words

Eclampsia, Maternal mortality, Antenatal care, Postpartum hemorrhage, HELLP syndrome, DIC.