Assessment of the females suffering from pre-eclampsia with respect to maternal and perinatal outcome
Dr. Lata, Dr. Archana Sinha
In developed world the incidence of pre-eclampsia is on declining trend due to availability of health care facilities to all pregnant women. Where as in developing countries universal provision of antenatal care is still lacking. Provision of timely and effective care to the women diagnosed with preeclampsia and eclampsia is important for avoiding the majority of morbidity and mortality caused by this disorder. Although all cases of Pre-eclampsia are not preventable but we can improve maternal and fetal outcome by good antenatal care, early detection of sign and symptoms of preeclampsia, prompt treatment and timely termination of pregnancy. This study was done to assess the maternal and fetal outcome in eclampsia patients and to evaluate various factors affecting its occurrence and outcome. The present study was a retrospective study done in the Department of Obstetrics Gynaecology, Indira Gandhi Institute of Medical Science, Patna in February 2019. Total 60 cases were studied from July 2018 to January 2019 including 30 cases of normal pregnant females (group A) and 30 cases of pre-eclampsia were included in the group B. Data was collected from hospital records and the two groups were compared for maternal and fetal outcome. Pre-eclampsia still remains an intractable obstetric emergency in the underprivileged world and a leading cause of maternal death. It is concluded that inadequate antenatal care, delay in women seeking help, delay in diagnosis and inadequate management of Pre-eclampsia patient at the peripheral center and delay in referral are the major contributors to the poor outcome of Pre-eclamptic women. By providing better health care facilities at all level, improving socioeconomic and education status of females, adequate antenatal supervision, timely identification of high-risk cases and timely intervention will improve maternal and fetal outcome in Pre-eclampsia.