Background: Eclampsia is a common obstetric emergency associated with significant maternal and fatal morbidity and mortality rate. Incidence varies from 1 in 100 to 1 in 2000 pregnancies. Eclampsia accounts for 24% of all maternal deaths in India. Eclampsia is a significant cause of perinatal mortality and morbidity in non-industrialised countries (up to 40% perinatal deaths). The aim is to evaluate incidence, management, perinatal & maternal morbidity/ mortality associated with Eclampsia in our hospital setting.
Methods: The retrospective study was conducted over a period of 6 months in Obstetrics and gynaecology department of Yashwantrao Chavhan Memorial Hospital, Pune (YCMH). The study included 4712 deliveries from August 2019 to February 2020.
Results: The total number of eclampsia cases was 25. The incidence of antepartum eclampsia was 0.53% (25/4712) at our center. Not a single maternal deaths due to eclampsia recorded. There were 6 early neonatal deaths most commonly due to prematurity.
Conclusions: The incidence of eclampsia in our study was 0.53%. Majority of patients were in age group of 18-25 years (84%) and with a gestational age of 26-34 weeks (54%). Among 25 patients the 14 patients (56%) were primigravida. No maternal death occurred. Magnesium sulfate was used for treating convulsions in all 25 eclamptic patient. Eclampsia is a life threatening complication of pregnancy, in our study there was no maternal mortality but perinatal outcome still needs to be improved. However an improvement in antenatal care, upgrading the neonatal facilities and early delivery by caesarean section can improve the perinatal outcome.