| Popis: |
Background: Eclampsia is one of the major causes of maternal and perinatal morbidity and mortality in India and other developing countries. This problem is continued in spite of challenging efforts to reviev each and every pregnant woman with eclampsia and to analyse the factors affecting the outcome. The aim of the research is to study the demographic profile, maternal as well as perinatal outcome of patients with eclampsia and factor affecting it in tertiary care centre of tribal population. Methods: A prospective observational and analytical study was conducted over a period of 1.5 years from 1/12/2013 to 1/06/2015 in the OBGY department of Govt. Medical College and Associated Maharani Hospital, Bastar, Chhattisgarh, India. All the patients of eclampsia or developed eclampsia admitted in the department were included in the study. Data was collected and analyzed included various maternal parameters and foetal parameters and pregnancy outcome. Results: During the study period of 1.5 years, incidence of eclampsia among rural and tribal population of Bastar was 4.76%. Among 250 cases of eclampsia, total 28 maternal deaths were there, showing high case fatality rate of 11.2%. 2 maternal deaths were antenatal. Most common cause of maternal death was postpartum haemorrhage (21.4%) and pulmonary oedema (21.4%). In spite of high case fatality rate, these eclamptic cases developed various complications. One of the factors contributing in poor maternal outcome and developing maternal complication was delay in delivery time from the time of onset of convulsion. Among the cases delivered early ( |
