A Prospective Study of Fetomaternal Outcome in Eclampsia in a Tertiary Care Centre in Western Rajasthan

Background: Eclampsia is the occurrence of convulsions or coma unrelated to other cerebral condition with signs and symptoms of pre-eclampsia. Objective of the present study is to compare the maternal and fetal outcome of women with more than 28 weeks gestation complicated by antepartum eclampsia when terminated either by caesarean section or by vaginal delivery. Method: This is a prospective observational study done among admitted women with ante partum eclampsia in obstetrical ward/ICU from Jan 2019 to Dec 2019 in the Department of Obstetrics and Gynecology, Umaid Hospital, Dr. S.N. Medical College, Jodhpur, Rajasthan, India. A total of 200 patients with ante partum eclampsia were included in the study. Results: This study showed that ante partum eclampsia is more common in women with age 20-25 years (63 %) and in primigravida (61.5 %). Most of the patients belong to low socio economic status (66.5 %). Maximum number of patients presented at gestational age of 37 - 42 weeks (52 %). LSCS was the most most common mode of delivery in 57.5 % patients. 6.5 % patients died due to eclampsia. As far as fetal outcome is concerned, alive born babies were 153 (76.5 %) and 47 (23.5 %) were dead born, and among live born 43 babies died. 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 and spreading of awareness in the community has major roles in prevention of eclampsia. 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.