Maternal and Perinatal Outcome in Severe Pre-eclampsia and Eclampsia in Rajarajeswari Medical College, Bangalore

ABSTRACT

Introduction: Eclampsia and pre-eclampsia is an acute life threatening complication of pregnancy. They are the leading causeof maternal and perinatal morbidity and mortality.Aim: To study the maternal and perinatal outcome in severe pre-eclampsia and eclampsia.Methods: A prospective study carried on 50 pregnant women admitted with severe pre-eclampsia and eclampsia in RajarajeswariMedical College and Hospital.Results: Out of the 50 cases, majority of the cases were transferred cases (56%) and 80% of the cases belonged to the agegroup of 20 to 30 years. Majority of the cases were seen in primigravida (58%). There was high incidence of PPH (70%), abruptioplacenta (4%), HELLP syndrome (6%). Perinatal complication were also high, 60% were low birth weight, 20% were preterm,16% were IUFD, three cases had doppler changes and three neonates had to be ventilated.Conclusion: There is high maternal and perinatal morbidity and mortality. Good and regular antenatal care can help preventpre-eclampsia and eclampsia. Therefore, proper and frequent antenatal care id needed for high risk pregnant women.