Maimoona Ashraf, Naheed H Sheikh, Ayesha H Sheikh.
Feto maternal outcome in Eclampsia
Biomedica Jul - Dec 2003;19:68-73.
LWH/KEMC and Department of Community Medicine, Allama Iqbal Medical College, Lahore

A total of 152 consecutive patients were taken for this study which was carried out in Lady Wallingdon Hospital, Lahore - Pakistan. The data was collected from gravid females having fits with or without raised blood pressure (>=140/ 90) and albuminuria, during antenatal, natal and postnatal period (hospital stay) with the help of Structured Questionaire. Uniform treatment regime (Diazepam for control of convulsions, alpha methyldopa and Nifedipine as antihypertensive agent) was administered. A total of 9417 females were delivered during this period, out of these 152 (16/1000 pregnant women) were eclamptic, 9800 were unhooked cases. 129 (84.86%) women had fits in antepartum period, 4(02.63Y) and 19(12.50%) had intrapartum and post partum fits respectively. M.M.R. during the year 1999 was 4.59/1000 live births and eclampsia contributed 11 maternal deaths (27.58%), (P=0.00, R.R=23.04). Among 152 eclamptic women, 11(7%) died. While out of 721 perinatal deaths 45 (6.24%) were among eclamptic mothers (P=0.00, R. R. =5.07). Eclampsia has strongly significant adverse impact on Mothers and foetus. This could he avoided by sincere provision of integrated, adequate and affordable MCH services especially during antenatal care.

Category: Obstetrics and Gynecology
Keywords: Eclampsia.

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