Rahila Farhat, Mahnaaz Roohi.
Cesarean verus vaginal delivery in the management of Eclampsia
Professional Med J Jan - Mar 2007;14(1):158-62.
Allied Hospital, Faisalabad

Objective: To compare the results of vaginal delivery and caesarean section in the management of eclampsia in terms of maternal, fetal, morbidity and mortality. Study Design: This is a comparative study. Setting: It was carried in Gynae Unit I of Allied Hospital, Faisalabad. Period: From August 1999 till required sample was complete. Material and Methods: Hundred patients presenting to labour room with history of fits and hypertension were included in the study. Patients were divided into two groups. Group A included those patients undergoing L.S.C.S Group B included those undergoing vaginal delivery. Diagnosis was made on history examination and laboratory findings. Results: It was seen that maternal morbidity and mortality was low in patients undergoing vaginal delivery. There was no mortality in group B whereas in patients who had undergone L.S.C.S 6 expired. The need for ventilatory support was increased in group A (12 patients landed in ICU because of delayed recovery from anaesthesia). In group B no one needed ventilatory support. Those patients undergoing L.S.C.S required more time to attain consciousness as compared to those undergoing vaginal delivery. Those undergoing L.S.C.S required anti-hypertensive drugs for longer duration as compared to other group. The duration of hospital stay was decreased in patients of vaginal delivery. Conclusion: According to study carried out in Allied Hospital showed a decrease in maternal morbidity and mortality in patients under going vaginal delivery.

Category: Obstetrics and Gynecology
Keywords: Eclampsia. Cesarean Section.

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