Assessment of clinical outcomes and prescribing behavior among inpatients with severe preeclampsia and eclampsia: An Indian experience
| Autor: | Dipika Bansal, Pawan Kumar Singh, Debasish Hota, Shefalika Kumar, B L Pandey, Madhu Jain |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
medicine.medical_specialty hypertension magnesium sulphate India Hyperreflexia law.invention Preeclampsia preeclampsia Young Adult Drug Utilization Review Pre-Eclampsia Pregnancy law medicine Humans Eclampsia Pharmacology (medical) Medical prescription Prospective cohort study Antihypertensive Agents reproductive and urinary physiology Pharmacology Obstetrics business.industry medicine.disease Severe preeclampsia Intensive care unit female genital diseases and pregnancy complications Anti-Bacterial Agents Treatment Outcome embryonic structures Anticonvulsants Female medicine.symptom business Research Article |
| Zdroj: | Indian Journal of Pharmacology |
| ISSN: | 0253-7613 |
| DOI: | 10.4103/0253-7613.125159 |
| Popis: | Objectives: The study aims to evaluate the management, maternal-fetal outcomes, and prescription behavior among inpatients with severe preeclampsia and eclampsia. Materials and Methods: This prospective cohort study in a tertiary referral center was conducted in 164 inpatient pregnant women who fulfilled the inclusion criteria. The study was conducted between November 2005 and February 2007. The patients were followed-up till delivery. Antepartum and intrapartum care and maternal and perinatal outcome were noted. Chief outcome measures were maternal and perinatal mortality and drug use indicators. Results: Median age at delivery of the women was 25 (22-28) years. Majority were suffering from antepartum eclampsia (52.5%), followed by preeclampsia (31%) and postpartum eclampsia (16.5%). Nulliparity (61.6%) was more common in eclampsia, while multiparity in preclamptic group. A total of 48% had preterm delivery. Most presented with headache (50%) and hyperreflexia (29%). Only 15% presented with all three prodromal symptoms and 86% had hypertension. There was increased morbidity, operative intervention, and admission to intensive care unit. Most babies (67%) weighed |
| Databáze: | OpenAIRE |
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