Published October 31, 2022 | Version https://impactfactor.org/PDF/IJPCR/14/IJPCR,Vol14,Issue10,Article144.pdf
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A Hospital-Based Assessment of the Neonatal Outcomes of Eclamptic Mothers: An Observational Study

  • 1. Senior Resident, Department of Obstetrics and Gynecology, Lord Buddha Koshi Medical College & Hospital, Saharsa, Bihar, India
  • 2. Assistant Professor, Department of Pediatrics, Lord Buddha Koshi Medical College & Hospital, Saharsa, Bihar, India

Description

Aim: The aim of the present study was to find out the neonatal outcomes of eclamptic mothers and their significance in a tertiary care facility. Methods: This prospective, cross-sectional, observational, and epidemiological study was conducted in the Department of Obstetrics and Gynecology, Lord Buddha Koshi Medical College & Hospital, Saharsa, Bihar, India for one year. The study comprised newborn babies born to 100 consecutive mothers admitted with eclampsia or with pre-eclampsia but subsequently developing eclampsia along with those born to 100 consecutive non-eclamptic mothers (considered as control) with normal BP. Results: A total of 90% of both eclamptic mothers took full course of iron-folate supplementation while 52% received at least three antenatal visits at local government subcenters. A total of 70% had hemoglobin of 10 g% or more, as evidenced from their antenatal records. The majority of eclamptic mothers were primigravida (86%), <20 years of age (66%), non-tribals (78%), having body weight of mean 41.19±5.0 kg, height of mean 148.34±6.33 cm, and socioeconomic status of Class IV (90%). There was no significant difference observed in respect of age, weight, height, religion, caste, parity, and socioeconomic status between eclamptic and control mothers and thus, the two groups were statistically matched. Conclusion: This study emphasizes the need to prevent development of eclampsia at a community level through ANC’s and to enhance neonatal care facilities in outreach areas to reduce the high incidence of perinatal morbidity and mortality due to eclampsia.

 

 

 

Abstract (English)

Aim: The aim of the present study was to find out the neonatal outcomes of eclamptic mothers and their significance in a tertiary care facility. Methods: This prospective, cross-sectional, observational, and epidemiological study was conducted in the Department of Obstetrics and Gynecology, Lord Buddha Koshi Medical College & Hospital, Saharsa, Bihar, India for one year. The study comprised newborn babies born to 100 consecutive mothers admitted with eclampsia or with pre-eclampsia but subsequently developing eclampsia along with those born to 100 consecutive non-eclamptic mothers (considered as control) with normal BP. Results: A total of 90% of both eclamptic mothers took full course of iron-folate supplementation while 52% received at least three antenatal visits at local government subcenters. A total of 70% had hemoglobin of 10 g% or more, as evidenced from their antenatal records. The majority of eclamptic mothers were primigravida (86%), <20 years of age (66%), non-tribals (78%), having body weight of mean 41.19±5.0 kg, height of mean 148.34±6.33 cm, and socioeconomic status of Class IV (90%). There was no significant difference observed in respect of age, weight, height, religion, caste, parity, and socioeconomic status between eclamptic and control mothers and thus, the two groups were statistically matched. Conclusion: This study emphasizes the need to prevent development of eclampsia at a community level through ANC’s and to enhance neonatal care facilities in outreach areas to reduce the high incidence of perinatal morbidity and mortality due to eclampsia.

 

 

 

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Dates

Accepted
2022-10-30

References

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