EARLY DECISION OF CAESAREAN SECTION IN ECLAMPSIA TO IMPROVE MATERNAL AND PERINATAL OUTCOME

Background: Inspite of great advances in Medicine in recent times , it is tragic that the control of eclampsia still remains an unfulfilled dream in our country. One of the important causes of maternal death is eclampsia . Once the diagnosis is proved the only cure is the termination of pregnancy. Methods: This study compares maternal and foetal outcome following obstetric management among three groups of patients with antepartam eclampsia . The first group of patients ( Group A) were treated with the traditional approach of stabilizing the patient followed by vaginal delivery within 12 hours. The second group of patients ( Group B ) were delivered vaginally with instruments . The third group ( Group C ) were managed by early caesarean section where seizures and B.P were not controlled and deteriorating signs were appearing. Results: Maternal mortality was only 5.5% in caesarean section group ; 8% in normal delivery group and 11.7% in instrumental vaginal delivery group . The perinatal mortality was much higher in group A ( 55%) and group B ( 18%) in comparison to group C ( 9.2%) . Conclusion: Early caesarean section may be an highly effective treatment protocol for the management of ante as well as intrapartum eclampsia