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Eclampsia: a hospital based retrospective study
1Maternity Hospital, Kathmandu, Nepal.
Kathmandu University Medical Journal (KUMJ)
|January 3, 2006
Summary
Eclampsia, a severe pregnancy complication, was studied in 2000-2001. Current interventions effectively reduced maternal deaths, but perinatal outcomes require improvement.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
Background:
- Eclampsia is a serious condition during pregnancy.
- Understanding its incidence and risk factors is crucial for maternal and infant health.
Purpose of the Study:
- To determine the incidence and epidemiology of eclampsia.
- To analyze the clinical profile of eclamptic patients.
- To evaluate the impact of current interventions on maternal and perinatal outcomes.
Main Methods:
- Retrospective analysis of case records of eclamptic patients.
- Data collected from mid-April 2000 to mid-April 2001.
Main Results:
- Eclampsia incidence was 2.9 per 1000 deliveries, predominantly affecting young nulliparous women.
- Most patients had fits before labor, often at home; Cesarean section was the common delivery mode.
- No maternal deaths occurred; 80.85% stopped fitting with intervention. However, 20% of infants died (stillbirths and neonatal deaths).
Conclusions:
- Current eclampsia intervention strategies are effective in reducing maternal mortality and morbidity.
- Perinatal outcomes in eclamptic pregnancies remain a significant concern requiring further attention.
