IJCRR - 6(13), July, 2014
CURRENT TRENDS IN ECLAMPSIA AT TERTIARY CARE HOSPITAL
Author: Deliwala K. J., Patel R. V., Shah P. T., Thaker R. V., Patel S. L.
Aims and Objectives: (1) To evaluate the incidence of eclampsia (2) To study material and perinatal outcome in eclamptic patients and its management. Methodology: Prospective study was done between July 2007 to June 2012. A total of 308 patients with eclampsia were included in the study. Results: The incidence of eclampsia is about 1.31 %. Majority of patients were primipara and between 21-25 years of age group. 97.1% of patients showed good response to MgSO4 therapy. 53.9 % patients had vaginal delivery while 46.1 % patients had LSCS. Conclusion: Eclampsia is not a totally preventable disease but its incidence can be decreased by proper antenatal care, early diagnosis of Pregnancy Induced Hypertension (PIH) and its proper management.
Deliwala K. J., Patel R. V., Shah P. T., Thaker R. V., Patel S. L.. CURRENT TRENDS IN ECLAMPSIA AT TERTIARY CARE HOSPITAL International Journal of Current Research and Review. 6(13), July, 31-37
1. Sibai BM. Diagnosis, prevention and management of eclampsia. ObstGynecol; 2005; Feb; 105 (2).
2. Dare FO, Eniola OA, Bariweni AC. Eclampsia revisited. Nig. J Med; 1998; 7; 168-171 cs.
3. Adetoro OO. The pattern of eclampsia at the university of Ilorin teaching hospital, Ilorin Nieria, International J of gynecology and Obstetrics; 31: 221-226.
4. Duley L Maternal Mortality associated with hypertensive disorders of pregnancy in Africa, Asia,Latin America and Caribbean. Br. J. ObstetGynecol 1992; 99: 547-553.
5. Percy CN In: Handbook of Obstetric Medicine Isis Medical Media oxford 1997.
6. Chelsey LC. A short history of eclampsia, ObstetGynecol 1974; 43: 599-602.
7. Acharya p, Damania K.R., Konar H., Misra S., Singh A., Thanawala U., et al.; Pregnancy induced hypertension; In Duftary S.; ECAB clinical update: Obstretricsand Gynecology; High-Risk Labour and Delivery; Haryana; Elsevier; 2011; 42-44.
8. PatilMithil M. et al – Role of Neuro imaging in patients with Atypical Eclampsia – The Journal of Obstetrics and Gynecology of India ( September – October 2012 ) 62 (5) : 526- 530.
9. D’Souza R., Bhide A.; Hypertensive disorders of pregnanacy; In: Thanawala U, Divakear H.; ECAB clinical update: Obstretricsand Gynecology; Medical disorders in pregnancy; New Delhi; Elsevier; 2009; 1-37.
10. Olakunle Kusemiju MBBS : The internet journal of third world medicine, 2008, Volume 6 number.
11. Bhatt R., Patel V., Patel C.; EclampsiaDiagnosis and management; In Mittal C., Mittal P., Emergencies in Obstetrics and Gynecology; Volume I, Second edition; Delhi; Peepee; 2012; 95-101.
12. Wang Y, Gu Y, Zhag Y et al. Evidence of endothelial dysfunction in pre-eclampsia. Decreased endothelial nitric oxide synthatase expression is associated with increased cell permeability in endothelial cells from preeclampsia. Am. J. Obstet. Gynecol, 2004; 190: 817.
13. Kanki T, Mihara F, Nakanoh. Diffusion weighted images and vasogenicoedema in pregnancy. ObsteGynecol. 1999; 93: 821-3.
14. Reynolds C., Mabie W. Hypertension studies in pregnancy; In Current Obst. Gynec. Decheney A.; Ninth Edition; Lange Medical Books, New York; 2000; 338.
15. Naidu K, Modly J. SPECT, CT scan, and TCD findings in eclampsia. Br. J. ObstetGynecol. 1997; 104 (10) : 1162-72.
16. J. Tukur B. A. Umar, R. Rabi U. Annals of African Medicine volume 6, No. 4; 2007: 164- 167.
17. Pritchard J. A. Cunningham FG, Pritchard SA the Parkland Memorial Hospital, protocol for treatment of eclampsia. Evaluation of 245 cases Am. J. Obstet. Gynecol 148: 951, 1984.
18. MigullM;Chekairi, A. Hypertension in pregnancy, 27(2), May 2008.