Altaf Bashir, Naila Yasmin, Mahmood Aleem.
Management of Eclampsia; 7-Year study in Faisalabad.
Professional Med J Jan ;4(4):357-66.

OBJECTIVE: 1. To evaluate various factors responsible for the disease. 2. Effectiveness of mother and child health activities and outcome of the management. DESIGN: Prospective study. PERIOD: (January 1989-Dec 1995. SETTING: Department of Obstetrics and Gynecology Allied Hospital Faisalabad. PATIENTS AND METHODS: Out of 16952 total births, 249 patients had eclampsia and were managed according to the set protocol. RESULTS: The incidence of eclampsia was 1.4% and maternal mortality was 13.6%. Eclamptic patients from rural earea were 66.5% and that of urban area was 33.7%, 54% patients were primigravida and 46% were multigravidas. The percentage of ante, Intra and postpartum eclampsia were 56, 57, and 12 respectively. 45% patients had abdominal delivery, 30% had forceps delivery, 11% delivered at home, 8% had vaginal delivery in hospital and 6% expired undelivered. CONCLUSION: Community education program created awareness about the importance of antenatal check up which led to early detection.and treatment of pre-eclampsia thereby preventing development of eclampsia. Special programme of training the traditioinal birth attendants (TBA) to recoginized pre-eclampsia in early stage and to refer the patient to the hospital, and availability of reliable transport to bring the patient from periphery or patient`s home to the hospital where prompt treatment be started by the experienced staff would certainly decrease the incidence of eclampsia and its adverse outcome.

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