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An audit of eclampsia

B Bassaw1, S Roopnarinesingh, A Mohammed

  • 1Mount Hope Women's Hospital, Trinidad.

The West Indian Medical Journal
|March 1, 1994
PubMed
Summary
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Eclampsia management improved with diazepam, magnesium sulfate, and early Cesarean sections, reducing maternal deaths. This approach significantly impacted perinatal and maternal mortality rates in eclamptic patients.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Neurology

Background:

  • Eclampsia, a severe complication of pregnancy, poses significant risks to both mother and fetus.
  • Effective management strategies are crucial for improving outcomes in eclamptic patients.

Purpose of the Study:

  • To evaluate the impact of specific management strategies on perinatal and maternal mortality in eclampsia.
  • To assess the role of diazepam, magnesium sulfate, and Cesarean section in managing eclampsia.

Main Methods:

  • Retrospective analysis of 103 eclampsia cases managed over eleven years.
  • Documentation of perinatal mortality rates and maternal deaths.
  • Comparison of maternal mortality rates between different delivery methods, particularly Cesarean section.

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Main Results:

  • The perinatal mortality rate was 136 per 1000 total births.
  • Six maternal deaths occurred during the study period.
  • Maternal mortality was lower among patients delivered via Cesarean section.

Conclusions:

  • Liberal use of diazepam and/or magnesium sulfate, combined with early Cesarean section, is integral to effective eclampsia care.
  • Cesarean section appears to be associated with reduced maternal mortality in eclamptic patients.
  • These interventions contributed to improved outcomes in the management of eclampsia.