Evaluation of Morbidity and Mortality in Eclampsia: A Study in a Tertiary Care Hospital, Rajshahi, Bangladesh

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Evaluation of Morbidity and Mortality in Eclampsia: A Study in a Tertiary Care Hospital, Rajshahi, Bangladesh


JournalScholars Journal of Applied Medical Sciences
Publication date – Sep – 2020
Authors – Dr. Nahid Sultana, Dr. Md. Zulfiqur Ali, Dr. Shakina Khatun
KeywordsEclampsia, Pregnancy, Reproductive Age, Severe Maternal Outcome.
Open access – Yes
SpecialityObstetrics and Gynaecology
World region Southern Asia
Country: Bangladesh
Language – English
Submitted to the One Surgery Index on November 8, 2020 at 11:33 pm
Abstract:

Introduction: Eclampsia is a hypothetically life-threatening rare tricky situation of the hypertensive disorders of pregnancy, which is responsible for huge records in morbidity and deaths among women of reproductive age and their offspring. It is an occurrence of convulsion linked with pregnancy complicated by preeclampsia. The estimate of incidence and the burden of eclampsia is still a challenging pursuit worldwide; currently only seven countries have national data on the topic. Aim of the study: To assess the morbidity and mortality in eclampsia. Methods: This was a cross sectional observational study carried out in the Department of Obstetrics and Gynaecology in 250 Bedded General Hospital, Pabna, Bangladesh during the period from June 2016 and July 2016. Proper written consent form all the participants were obtained and the ethical committee of the hospital had approved the study before starting the
intervention. In total 178 pregnant women with eclampsia were finalized as the study population. Result: In our study we found in total 148 live births from total 178 mothers which were 83.15% against total study population. Among all the babies 139 were survived which was 93.91% among total live births. Death after birth was 9 in number which was 6.08% among total live births. Early neonatal death was 13 in number which was 7.3% against total mothers. Stillbirths were 16 in number which was 9% against total mothers. In perinatal complication analysis we found 42 babies with jaundice which was 28.38% among live births. Babies with septicemia were 28 (18.92%), with respiratory distress 25 (16.89%), with neonatal convulsion were 7(4.73%) and with no complication were 46 (31.08%). Conclusion: It was observed in our study that; lower income families have a worse performance in all obstetric health
care indicators among women with eclampsia. So, Proper health care and mental health facilities in order to get better obstetric and perinatal outcomes might be the faster route to reduce severe maternal outcome due to eclampsia.

OSI Number – 20728

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