Feto-Maternal Outcome in Women with Early Onset of Pre-Eclampsia and Eclampsia

AIM 1) Prevalence of Early onset of Pre-eclampsia& Eclampsia (between 20 to 34 gestation week of pregnancy) in government medical college, surat 2) Mode of Delivery 3) To Evaluate Feto-Maternal Outcome among these subjects. METHOD Prospective Study was carried out in department of Obstetrics& Gynecology enrolling 100 consecutive subjects between 20 to 34 weeks of gestation with Severe Pre-Eclampsia& Eclampsia admitted to labor room& OB ICU over period of 1 year (2015-16).100 consecutive cases admitted of which 63 were PET, 34 were Ante-partum Eclampsia, 1 was Intra-partum Eclampsia& 37 were Post-partum Eclampsia. In all cases of Severe PET& APE pregnancy was terminated irrespective of gestation age. RESULTS Subject was conducted enrolling 100 subjects admitted with Severe PET (n= 63)& Eclampsia ( n = 37).76 % were 20-30 year of age group, 55 % were Primi gravida, 77 % subjects were presented between 32-34 weeks of gestation, 82 % were unregistered, 74 % need premonitory support. Out of 100 subjects 6 % died& 19 % had complications.80 % Subjects had adverse fetal outcome. CONCLUSION Eclampsia is still one of the important and common obstetric emergencies, which has a significant role in maternal and perinatal outcome. Regular Antenatal Care (ANC), proper health education, improvements of socioeconomic conditions. Timely and appropriate intervention including primary management, early referral and judicious termination of pregnancy help in reducing morbidity and mortality of both mother and fetus.