Maternal and Fetal Outcomes of Pre-Eclampsia in A Tertiary Care Centre
Creators
- 1. Post Graduate Resident, Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon, Nashik-422003
- 2. Associate Professor, Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon, Nashik-422003
- 3. Professor, Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon, Nashik-422003
- 4. Phase II MBBS, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon, Nashik422003
- 5. Professor and Head, Department of Pharmacology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon, Nashik-422003
Description
Introduction: Preeclampsia is a multi-organ system disorder of pregnancy and is responsible for a significant rate of maternal and perinatal morbidity and mortality worldwide, occurring after 20 weeks of gestation. Aims and Objectives: The aim and objective of this study is to study and evaluate pregnancy outcomes in patients with pre-eclampsia on the basis of mode of delivery, term at which delivery occurs, maternal outcome, and fetal outcome of the newborn. Materials & Methods: It is a prospective study, carried out on 200 pregnant women admitted with severe pre-eclampsia at a tertiary care referral unit. Detailed history and examination were carried out. Investigations like complete hemogram, liver function tests, renal function tests, coagulation profile, LDH, and fundus examination were done. The maternal and fetal outcomes were then noted down. Result: It was found that the leading maternal complication of pre-eclampsia was PPH which contributed to about 34%, followed by abruptio placentae (15%), renal dysfunction (7%), pulmonary edema (10%), pulmonary embolism (2%), HELLP syndrome (2%), DIC (1%) and eclampsia(0.5%). Maternal mortality was 8%. Perinatal complications included low birth weight in 75%, 60% had preterm delivery, 59% of babies had birth asphyxia and 30% were stillborn. Conclusion: There is very high maternal and perinatal morbidity and mortality and 90% of patients had no antenatal care and belonged to a lower socio-economic class. Good antenatal care could have prevented severe pre-eclampsia to a large extent. It is important to create awareness about the importance of antenatal check-ups.
Abstract (English)
Introduction: Preeclampsia is a multi-organ system disorder of pregnancy and is responsible for a significant rate of maternal and perinatal morbidity and mortality worldwide, occurring after 20 weeks of gestation. Aims and Objectives: The aim and objective of this study is to study and evaluate pregnancy outcomes in patients with pre-eclampsia on the basis of mode of delivery, term at which delivery occurs, maternal outcome, and fetal outcome of the newborn. Materials & Methods: It is a prospective study, carried out on 200 pregnant women admitted with severe pre-eclampsia at a tertiary care referral unit. Detailed history and examination were carried out. Investigations like complete hemogram, liver function tests, renal function tests, coagulation profile, LDH, and fundus examination were done. The maternal and fetal outcomes were then noted down. Result: It was found that the leading maternal complication of pre-eclampsia was PPH which contributed to about 34%, followed by abruptio placentae (15%), renal dysfunction (7%), pulmonary edema (10%), pulmonary embolism (2%), HELLP syndrome (2%), DIC (1%) and eclampsia(0.5%). Maternal mortality was 8%. Perinatal complications included low birth weight in 75%, 60% had preterm delivery, 59% of babies had birth asphyxia and 30% were stillborn. Conclusion: There is very high maternal and perinatal morbidity and mortality and 90% of patients had no antenatal care and belonged to a lower socio-economic class. Good antenatal care could have prevented severe pre-eclampsia to a large extent. It is important to create awareness about the importance of antenatal check-ups.
Files
IJPCR,Vol15,Issue8,Article58.pdf
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Additional details
Dates
- Accepted
-
2023-07-10
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue8,Article58.pdf
- Development Status
- Active
References
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