Eclampsia: a hospital based retrospective study.
OBJECTIVE
This study was done to see the incidence, epidemiology , clinical profile of eclamptic patients and the effect of current intervention strategy for Eclampsia on maternal and perinatal outcome.


METHODS
Analysis of case records of all Eclampsia cases from mid-April,2000 to mid-April,2001.


RESULTS
Incidence of Eclampsia has was found to be 2.9 per 1000 deliveries. Eclampsia was primarily a disease of young women (97.22%) and nulliparas (80.85%). Approximately half of eclamptic patients had some antenatal care (55.31%) and majority of them had fits before the onset of labour (70.21%). Most eclamptic patients presented with fits at term pregnancy (72.34%). About three fourth of them started fitting at home (74.46%) but one fourth had first fit while already admitted in the hospital (25.53%). Caesarean section was common mode of delivery (55.31%). There was no maternal death. Majority of patients stopped fitting once intervention was started (80.85%) and went home within three weeks (95.73%). One fifth of babies died [stillbirths (14%), neonatal deaths (6%)].


CONCLUSIONS
It appears that current intervention strategy for eclampsia in the maternity hospital is effective in reducing maternal mortality and morbidity but perinatal outcome still needs to be improved.
Choudhary
Pushpa
P
Maternity Hospital, Kathmandu, Nepal.
D000328:Adult; D000927:Anticonvulsants / Q000627:therapeutic use*; D002585:Cesarean Section / Q000706:statistics & numerical data; D004461:Eclampsia / Q000188:drug therapy / Q000453:epidemiology*; D005260:Female; D005865:Gestational Age; D006771:Hospitals, Maternity / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D008278:Magnesium Sulfate / Q000627:therapeutic use; D009390:Nepal / Q000453:epidemiology; D010298:Parity; D011247:Pregnancy; D012189:Retrospective Studies; D050497:Stillbirth / Q000453:epidemiology
D000927:Anticonvulsants; D008278:Magnesium Sulfate