Musarrat Jabeen Babar.
An audit of Eclampsia and comparison with data collected 10 years ago.
J Postgrad Med Inst Jan ;18(2):230-6.

Objective: To compare data in the present setting and 10 years ago to see trends and changes. Material and Methods: A one year study on the frequency and outcome of eclampsia was conducted in the Gynae "A" unit of Post Graduate Medical Institute, Lady Reading Hospital (PGMI, LRH) Peshawar, Pakistan. A total of 75 cases of eclampsia were admitted from 1st Jan 1998 to 31st Dec 1998. However data of only 60 patients was available for analysis. Results: Out of the Sixty (60) cases, Thirty Six (36) were of antenatal, Nineteen (19) of intranatal & Fourteen (14) of postnatal eclampsia. The age range was from Thirteen (13) to Forty (40) years with a maximum number of patients between twenty one (21) to Thirty (30) years. 80% of the patients belonged to rural areas with 77% belonging to very low incoming group, 53% were primi gravidae with 90% of the cases presenting in the last Four (4) weeks of pregnancy. Urine albumin on an average was +2 on admission in all patients and settled to nil in 84%. All except one patient had generalized edema on admission. 70% of patients had spontaneous vaginal delivery. The average stay in hospital was 8.4 days. As per the "Death Summary" register kept in the unit 16/75 patients died of eclampsia. The perinatal mortality was almost 50%. All except one were admitted in emergency & all were un-booked for anternatal care. The results were compared with the data collected by the same author in the same hospital ten (10) years ago in 1988 as part of requirement for post graduate training in gynae & obs. The data was submitted in book form to the college of physicians and surgeons, as a prerequisite for F.C.P.S. It was not submitted to any journal for publication. Conclusion: In comparison 10 years ago few differences were noted with a 26% increase in cases of antenatal eclampsia over the past ten years, a 17% fall in the incidence of eclampsia in primigaide and a 15% increase in multigravidae. The hospital stay has increased from an average of 5 days to 8.4 days. 90% of the women presented before 30 years of age in both the cases. 20% of patients presented with fits at a lower BP compared to 10 years earlier.

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