A retrospective study of 100 cases of Eclampsia: perinatal outcomes

Background: Eclampsia is associated with devastating maternal and foetal complications. Eclampsia is a major cause of maternal morbidity and mortality in developing countries. Evaluation of factors contributing to occurrence of eclampsia and death of eclamptic mother is of paramount importance. The aim of the study was to determine the perinatal mortality rate in eclamptic women. To assess the perinatal outcome with respect to time between first convulsion and delivery, time of treatment and delivery .To assess the perinatal outcome and mode of delivery. In this study we have tried to know the relationship between maternal blood group and eclampsia. Methods: A retrospective study of 100 cases of eclampsia was done in P.D.U. Medical College, Rajkot. Pregnant woman diagnosed as eclampsia during this period were included. The events and outcome of mother and fetus were recorded and analyzed.Results: Around 60% of patients were primipara and 70% patients were from rural area. On evaluation of background characteristics, 65 patients were not booked, 48% patients were hypertensive and 40% were normotensive. Out of 14 maternal deaths, five had cerebral haemorrhage, 3 had pulmonary edema, 3 had renal failure and 2 developed PPH.Conclusions: Majority of the patients were unbooked and young and primigravida. Fifteen percent of eclamptic women required cesarean delivery. Most common cause for neonatal death was prematurity and its attendant complications

Rupture uterus: a retrospective analytical study

Background: Over 500,000 women die each year due to complications of pregnancy and childbirth, a number that has remained relatively unchanged since 1990, when the first global estimates of the burden of maternal mortality were developed (WHO 2005). Objective of present study was to find out risk factors, management, related complications and associated maternal morbidity and mortality with rupture uterus.Methods: A retrospective analytical study was performed at Department of Obstetrics and Gynecology, PDU Medical College, Rajkot, Gujarat, India over a period of 3 years during 2014-2016. Evaluation of maternal age, parity, SE status, booking status, obstetric risk factors, duration of hospital stay, causes of rupture uterus, Management, intra-op and post-operative complications, maternal morbidity and mortality was done.Results: Total 29 cases of rupture uterus were found during study period. Most of them belong to age group of 21-30 (77.17%), Primipara (41.3%), Lower socioeconomic status (86.2%) and unbooked (65.52%) cases. Most common cause of rupture uterus was prolonged obstructed labor (51.72%) while scarred uterus (41.73%), transverse lie (3.44%) and injudicious use of oxytocin (3.44%) were others. In 16 cases obstetric Hysterectomy (55.17%) was performed while in 13 cases repair (44.82%) was done. We have found 2 cases of maternal death (6.89%) while study period with rupture uterus.Conclusions: Present retrospective analytical study has concluded that rupture uterus is a life threatening complication. Proper antenatal and intrapartum care, identification of high risk factors, promotion of skilled attendance at birth and institutional delivery are key factors in reduction and early diagnosis

A retrospective study of 100 cases of Eclampsia: perinatal outcomes

Background: Eclampsia is associated with devastating maternal and foetal complications. Eclampsia is a major cause of maternal morbidity and mortality in developing countries. Evaluation of factors contributing to occurrence of eclampsia and death of eclamptic mother is of paramount importance. The aim of the study was to determine the perinatal mortality rate in eclamptic women. To assess the perinatal outcome with respect to time between first convulsion and delivery, time of treatment and delivery .To assess the perinatal outcome and mode of delivery. In this study we have tried to know the relationship between maternal blood group and eclampsia. Methods: A retrospective study of 100 cases of eclampsia was done in P.D.U. Medical College, Rajkot. Pregnant woman diagnosed as eclampsia during this period were included. The events and outcome of mother and fetus were recorded and analyzed.Results: Around 60% of patients were primipara and 70% patients were from rural area. On evaluation of background characteristics, 65 patients were not booked, 48% patients were hypertensive and 40% were normotensive. Out of 14 maternal deaths, five had cerebral haemorrhage, 3 had pulmonary edema, 3 had renal failure and 2 developed PPH.Conclusions: Majority of the patients were unbooked and young and primigravida. Fifteen percent of eclamptic women required cesarean delivery. Most common cause for neonatal death was prematurity and its attendant complications

Rupture uterus: a retrospective analytical study

Background: Over 500,000 women die each year due to complications of pregnancy and childbirth, a number that has remained relatively unchanged since 1990, when the first global estimates of the burden of maternal mortality were developed (WHO 2005). Objective of present study was to find out risk factors, management, related complications and associated maternal morbidity and mortality with rupture uterus.Methods: A retrospective analytical study was performed at Department of Obstetrics and Gynecology, PDU Medical College, Rajkot, Gujarat, India over a period of 3 years during 2014-2016. Evaluation of maternal age, parity, SE status, booking status, obstetric risk factors, duration of hospital stay, causes of rupture uterus, Management, intra-op and post-operative complications, maternal morbidity and mortality was done.Results: Total 29 cases of rupture uterus were found during study period. Most of them belong to age group of 21-30 (77.17%), Primipara (41.3%), Lower socioeconomic status (86.2%) and unbooked (65.52%) cases. Most common cause of rupture uterus was prolonged obstructed labor (51.72%) while scarred uterus (41.73%), transverse lie (3.44%) and injudicious use of oxytocin (3.44%) were others. In 16 cases obstetric Hysterectomy (55.17%) was performed while in 13 cases repair (44.82%) was done. We have found 2 cases of maternal death (6.89%) while study period with rupture uterus.Conclusions: Present retrospective analytical study has concluded that rupture uterus is a life threatening complication. Proper antenatal and intrapartum care, identification of high risk factors, promotion of skilled attendance at birth and institutional delivery are key factors in reduction and early diagnosis