Eclampsia: A Retrospective Study in a Tertiary Care Centre

Eclampsia is a common obstetric emergency associated with significant maternal and fatal morbidity and mortality rate. The aim is to evaluate incidence, management, perinatal & maternal morbidity/ mortality associated with Eclampsia in our hospital setting. The retrospective study was conducted over a period of one year in Obstetrics and gynaecology department of Bharati Hospital. The incidence of eclampsia in our study was 1.63%. Majority of patients were in age group of 20-25 years (69.56%) and with a gestational age of 31-35 weeks (34.78%). Among 23 patients the 13 patients (56.52%) were primigravida. 20 patients (86.95%) presented with antepartum, 1 patient (4.34 %) with intrapartum and 2 (8.69 %) patients with postpartum eclampsia. Caesarean delivery was the commonest mode of delivery in 13 (56.52%). The perinatal mortality was recorded in 6 patients (26.08%) and no maternal death occurred. Magnesiumsulfate in 23 patients (99.99 %) was used for treating convulsions in eclamptic patient. Eclampsia is a life threatening complication of pregnancy, in our study there was no maternal mortality but perinatal outcome still needs to be improved. However an improvement in antenatal care, upgrading the neonatal facilities and early delivery by caesarean section can improve the perinatal outcome.