Assessment of maternal and perinatal outcomes in pre-eclampsia females admitted to government medical college bettiah, West Champaran, Bihar
Dr. Kiran Bharati, Dr. Bhuvneshwar Kumar, Dr. Sudha Bharati
In India, the incidence of eclampsia range from 1 in 500 to 1 in 30 (0.5%-1.8%). The occurrence, however, depends on the availability, accessibility and quality of antenatal care. Consequently, rates are higher where healthcare provision is constrained for a variety of reasons. Maternal mortality in eclampsia is intolerably high in India, and ranges from 2%-30%, much more in the established rural hospital than in urban equivalent. In India, the perinatal mortality of neonates of eclamptic mothers is also very high to the extent of about 30– 50%, in spite of all efforts of Government to bring down maternal and perinatal mortality. Hence based on above findings the present study was planned for Assessment of Maternal and Perinatal Outcomes in Pre-Eclampsia Females Admitted to The present study was planned in Department of Obstetrics & Gynaecology, Government Medical College Bettiah, West Champaran, Bihar, India. In the present study 50 cases of the females were enrolled in the present study. The 25 females of pre-eclampsia were evaluated in Group I and remaining 25 females with normal pregnancy were evaluated in Group II. Maternal data were documented with respect to age, parity, socioeconomic status, whether urban or rural, status of antenatal care, gestational age at delivery and mode of delivery. Relevant maternal investigations were also obtained. Fetal outcome data were documented with respect to birth weight, still birth rate, asphyxia and its degree, gestational age, neonatal complications, neonatal death rate and overall perinatal loss. A pre-designed structured Performa was used to interview eligible women and clinical examination findings & investigations performed were noted. The data generated from the present study concludes that Eclampsia is associated with significant maternal and perinatal morbidity and mortality. The higher death is due to high percentage of the patient being unbooked; majority receive no therapeutic intervention until admission. Good antenatal care, nutrition, health education, early diagnosis, good control of BP, early referral to higher centre, multidisciplinary approach will reduce morbidity as well as mortality in mother and baby.