(Brig.) Pradeep Kumar Bhatnagar1, Kaushalya Bordia2
Pulmonary oedema in severe pregnancy-induced hypertension is a life threatening complication with high maternal mortality, particularly in tribal population of South Rajasthan.
Thirteen cases which occurred in the duration of two and half years were analysed through medical records and findings were recorded.
Maximum cases 10(76.92%) were in less than 20 years of age. 12 (92.30%) cases were nulliparous. Out of 13 cases of PIH, pulmonary oedema developed in 5 (38.46%) cases of eclampsia and 8 (61.54%) cases of severe pregnancy-induced hypertension. 10 (76.92%)cases were 28 to 30 weeks of gestation and 3 (23.08%) were 31 to 34 weeks of gestation. 8 (61.54%) cases were severely anaemic. 12 (92.30%) were unbooked cases.
Regular antenatal checkups, early diagnosis, prompt treatment of hypertension and pulmonary oedema and termination of pregnancy is required to prevent maternal death.