Tabinda Arshad.
The prevalence of Eclampsia and its complications in patients reporting to Military Hospital Rawalpindi.
Pak Armed Forces Med J Jan ;57(1):33-8.

Objective: To find out the prevalence and complications of eclampsia in the patients reporting to MH Rawalpindi. Design: A descriptive study. Place and Duration of Study: Study was conducted in MH Rawalpindi from June 1997 to June 1999. Subject and Methods: Data of all the pregnant ladies who were admitted in this, period with blood pressure equal to or more than 140 /100mmHg and urine albumin equal to or more than + 1 and whose pregnancy outcome was known. Results: Twelve patients reported with eclampsia and 19 patients had to be delivered because of impending eclampsia .So we included 31 patients in our study to find out the rate of maternal and the perinatal morbidity and mortality in our set up. About 42% of the patients in our series were primigravida. 50% had developed eclampsia and 36.8% had to be delivered because of imminent eclampsia. There was no maternal mortality due to this condition in our study period. Though some patients had some morbid effects of the disease but they were curable. The pregnancy outcome was influenced by the gestational age at the time of delivery. In 80% of cases the gestational age was more than 30 weeks. The perinatal mortality rate was found to be 30.7%. Over all, the incidence of multiple gestations in the study was 9.6%. Conclusion: Proper screening and management of patients with pre-eclampsia at the community and basic health care level can prevent the untoward complications of this disease in both the mother and the baby born.

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