Critical care management of eclampsia patients - one year study

Background: Critically ill eclampsia patients present a unique challenge to the obstetrician, anesthesiologist and intensivists. In developing countries, maternal mortality is still high due to lack of good maternal antenatal services and obstetric intensive care. This study aims to provide a comprehensive review for the management and outcome of critically ill eclampsia patients admitted in the obstetric intensive care unit (ICU), GMC, Bhopal.Methods: This study was a hospital based cross sectional study. The study included 145 eclampsia patients who were admitted in obstetric ICU for critical care management. For each eligible patient, sociodemograhic profile, indications of ICU admission, data on ICU interventions and maternal outcome were documented.Results: During study period, total obstetric admission were 19,815 and 14,731 live births. Out of 348 eclampsia patients, 145 patients were admitted to the obstetric ICU, giving an ICU admission rate of 9.8/1000 live births. 98.03% patients were unbooked referred obstetric emergencies.The average duration of stay in obstetric ICU was 5.4+3.1 days. 72.9% patients had antepartum eclampsia, 17.2% patients had postpartum eclampsia and 10.8% patients had intrapartum eclampsia. 41% patients received mechanical ventilation, 90% patients received oxygen and advanced monitoring, 48.6% patients received vasoactive drugs and 53.7% patients received blood transfusions. There were 26 maternal deaths giving a case fatality rate of 17.93%.Conclusions: Early referral of eclampsia patients or at risk patients to a tertiary care centre may help to reduce maternal morbidity and mortality. Early diagnosis and prompt treatment through a multidisciplinary team in an ICU setting can prevent complications and reduce morbidity and mortality

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Not AvailableA long-term field experiment (2006–2016) was laid out at Karnal, Haryana, to evaluate long-term effect of crop residue and tillage management on carbon sequestration potential, soil aggregates and wheat (Triticum aestivum L.) productivity under rice (Oryza sativa L.)–wheat cropping sequence on partially reclaimed sodic soil. Residue incorporation in conventional (CV + R) and reduced tillage (RT + R) resulted in significantly higher system productivity (13.01 t/ha and 12.48 t/ha respectively) than other treatments used in present study. Soil properties also improved with zero tillage and residue incorporation. The soil organic carbon (SOC) under tillage with residue treatments (CV+R, RT+R and ZT+R) increased from 14.81 to 39.47% at 0–15 cm soil depth over the control. The highest carbon sequestration potential (0.67 t/ha/year) was obtained in zero tillage + residue (ZT+R) treatment at 0–15 cm soil depth. Crop residue in zero tillage favoured a higher amount of carbon to be preferentially stabilized in fine and coarse aggregates. Crop residue either incorporated in conventional and reduced tillage or anchors in zero tillage proved a useful indicator for assessing soil carbon and sustaining crop productivity in the partially reclaimed sodic soilNot Availabl