A Study of Maternal Outcome in Complicated Eclampsia

Objective: To study sociodemographic parameters & various maternal complication in eclampsia patient. Method: A Prospective observational study was conducted in department of Obstetrics and Gynecology in Government medical college, Aurangabad. Result: It was observed that majority of the cases, 72% were between 20-25 years of age group , 46% were belonging to lower class, 54% cases were from rural residence, 64% cases were Unbooked hence 68.42% were referred without basic treatment. 82% cases had antepartum eclampsia, 14% had postpartum & 4% had intrapartum eclampsia encountered out of which 52% cases had undergone lower segment caesarean section. The most common complication encountered was Abruptio placenta followed by Pulmonary edema others include PRESS, HELLP syndrome with 6 maternal mortalities. Most cases required ICU management. 26% cases required Mechanical ventilation. Conclusion: Provision of quality antenatal health care services, timely reffral with treatment and delivery, intensive monitoring in the intrapartum and postpartum period have the potential to improve maternal and to prevent the occurrence of eclampsia as a whole.