Shweta Vishnu Walke1 , Sarika Madhukar Thakare2
BACKGROUND Pre-eclampsia when complicated with generalized tonic-clonic convulsions and or coma is called eclampsia. The objective of this study was to evaluate the maternal and foetal outcome in eclampsia patients. METHODS The present observational study was conducted among 60 eclampsia patients with more than 20 weeks of gestation who were admitted in the Department of Obstetrics and Gynaecology, at Government Medical College, Chandrapur, Maharashtra, India, from October 2019 to March 2020. Before commencement of the study, ethical clearance was obtained. Waiver of consent was obtained as no other information other than hospital and clinical data was used in this study. On admission, after informed and written consent for eclampsia, patients were managed as per the department protocol. RESULTS Eclampsia was more commonly seen in the age group 20 - 24 years (55 %), in primigravida (65 %), in unbooked patients (68.3 %) and patients of rural areas (70 %). Majority of patients developed first episode of convulsion at more than 37 weeks of gestation and around 56.7 % underwent lower segment Caesarean section. The most common indication for LSCS was unfavourable cervix. Various maternal complications like pulmonary oedema, ARDS, abruptio placentae, HELLP syndrome, PPH, severe anaemia and shock were encountered increasing maternal and perinatal morbidity and mortality. CONCLUSIONS Eclampsia is associated with significant maternal and perinatal morbidity and mortality, which can be reduced by proper antenatal care, timely detection of high risk cases, adequate utilization of available medical services and timely intervention
