ABSTRACT
Background: Eclampsia is one of the major causes of maternal and perinatal mortality. Eclampsia is more common in developing countries compared to developed countries.This study aimed to assess the maternal outcome in eclamptic patients.Material & Methods:This cross-sectional study was conducted in the Department of Obstetrics and Gynecology, Gazi Medical College, Khulna, Bangladesh, during the period from September 2017 to February 2019.Results:The mean age of study people was 23.84 years (SD±5.03 years), among them 58% had postpartum eclampsia and 42% had antepartum eclampsia. Most of the study people (62%) did not take regular antenatal check-ups during pregnancy and 47% of study people had 1-4 convulsions before admission, and most of the study people (80%) had high blood pressure stage 2 (?140/?90 mmHg), Oedema was presented in 98% of study people, 44% of study people and 3gm/l(+++) albumin in the urine. In this study, 56 % had LUCS delivery and 44% had a vaginal delivery, 7% of study people had pulmonary oedema, 7% had renal failure, 2% had DIC, 7% had CVA, 9% had abruption placenta 16% had PPH, 31% needed admission in ICU. There was no maternal death, mean duration of hospital stay was 7 days (SD±3 days). For most of the study people (56%), BP on discharge was normal (?120/?80 mmHg) and for all study people, urine albumin was nil.Conclusions:Eclampsia was a major cause of maternal and fetal mortality and morbidity in Bangladesh. Race and age appear to be risk factors for eclampsia with Bangladeshi women and those at the extremes of reproductive age at greater risk. Antenatal care is important in reducing perinatal mortality and possibly maternal complications.
ABSTRACT
Background: Corona-virus pandemic has become a major health problem worldwide. It evokes mental health disorders affecting the population globally, especially pregnant women and is associated with adverse maternal and fetal outcomes.The aim of the study was to assess anxiety and depression in pregnant women during the Covid-19 pandemic.Material & Methods:This was a cross-sectional study conducted at Islami Bank Central Hospital Kakrail, Dhaka, Bangladesh. Pregnant women visiting the gynae&obs outpatient department, and women who had recently delivered in the gynae ward (in the past 15 days) were included in the study and asked to fill out a questionnaire.Results:A total of 152 patients were enrolled and analyzed in this study. Out of the total, 108 (71.05%) of the patients were less than 30 years, 38 (25.00%) were between 31 and 35 years old, and only 6 (3.95%) were older than 35 years. We found that 103(67.76%) of pregnant women had developed mental health disorders during this pandemic and there is a need to reform policies for the care and counseling of pregnant women as they are particularly susceptible.Conclusions:This study examined the mental health of pregnant women during the COVID-19 pandemic. The majority of the women thought COVID-19 could affect their pregnancy. Proper screening and diagnosis would bring early treatment to the needy thus preventing complications to both the mother and the newborn.