Nadeem Shahzad, Uzma Yaqoob, Asif Hanif.
Feto Maternal Outcome in patients with Eclampsia at a Tertiary Care Hospital.
Pak J Med Health Sci Jan ;7(1):76-9.

Objective: To see fetomaternal outcome in patients with Eclampsia. Methodology: This study was conducted at Lady Willingdon Hospital/K. E. Medical University from January 2009 to December 2009. In this descriptive case series a total 100 patients of Eclampsia were included through non probability convenience sampling. The inclusion criteria was defined clearly and all those diagnosed cases of Eclampsia after 24 completed weeks of gestation and who were delivered through caesarean section were included in the study, whereas all those patients having multiple pregnancies, with anomalous babies were excluded. Results: In current study main presenting complains in the study group were body swellings & loss of conscious level in 92(92%) patients and 88% had blood pressure along with convulsions. Seizures were preceded by headache, blurring of vision in all 100 patients, 98% of patients complained of vomiting, with epigastric pain in 3%, 4% had jaundice and in 98(98%) of the eclamptic patients were found to have proteinuria. Ten of these eclamptic mothers (10%) died, of these 7 because of pulmonary edema, 2 due to DIC and another 1 had renal failure. Thirty eclamptic mothers (30%) developed complications like, pulmonary edema (11%), CVA in (2%), renal failure (2%), DIC (4%), and 11% had deranged LFT’s including one case of HELLP syndrome. As far as fetal outcome is concerned alive born babies were 80%, of these 39% were term and 61% preterm while 20% were stillbirths out of which 17(17%) were preterm and 3(3%) were full term babies. APGAR score in 60% babies was less than 4 at birth and 13% had less than 4 score at 5 minutes after delivery. Conclusion: It can be stated that our health care system contains inadequate facilities to provide satisfactory antenatal service to our pregnant mothers.

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