title: Eclampsia: a hospital based retrospective study.
abstract: 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.
authors.affiliation: Maternity Hospital, Kathmandu, Nepal.
authors.forename: Pushpa
authors.initials: P
authors.lastname: Choudhary
mesh_terms: 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
chemical_list: D000927:Anticonvulsants; D008278:Magnesium Sulfate