Publication: Management and Outcome of Pre-eclampsia/Eclampsia among patient admitted in maternity ward in tertiary hospital
Date
2013
Authors
Article Type
Original Article
Journal Title
Journal ISSN
ISSN (Print) : 1993-2979 | ISSN (Online) : 1993-2987
Volume Title
Pages
Pages: 30 - 37
Publisher
Institute of Medicine
Abstract
Abstract
Introduction: Pre-eclampsia /eclampsia is the second leading cause of maternal mortality in Nepal. This study was done to identify the Proportion of pre-eclampsia/eclampsia cases, its management procedures and outcome among women.
Methodology: The retrospective study was done in maternity ward of Tribhuwan University Teaching Hospital (TUTH). The Women admitted in maternity ward from April 14, 2011 to March 14, 2012 having diagnosis of pre eclampsia / eclampsia was included in the study. Sampling technique was census.
Results: Among 4175 admitted cases 4.35% were diagnosed as pre-eclampsia /eclampsia with proportion of 3.88%, 0.38%, 0.09% mild pre-eclampsia, severe pre-eclampsia and eclampsia respectively. More than half (61.5%) were primi parous, 98.4% were booked case and 74.2% came after 37 weeks gestation for admission. Only 1.6% was referred cases. Antihypertensive drug was used in 60.5% mild pre-eclampsia, all severe preeclampsia and eclampsia cases. Magnesium sulphate was used in 62.5% severe pre-eclampsia and all eclampsia cases. Only 15% pre-eclampsia /eclampsia cases were managed by using the partograph properly. Majority of (94.4%) severe pre-eclampsia and all of eclampsia cases gave child birth by cesarean section and majority of mild pre-eclampsia by vaginally. In majority of cases, there was no life threatening maternal and neonatal complications.
Conclusion: The prevalence of pre-eclampsia is very low as compared to national figure. It is concluded that pre-eclampsia/eclampsia cases were managed properly which is reflected by the positive maternal and fetal outcome.
Keywords: eclampsia, pregnancy induced hypertension, pre-eclampsia
Description
SK Gautam(Bhattarai)
Tribhuvan University Institute of Medicine, Nursing Campus Maharajgunj
K Paudel
Tribhuvan University Institute of Medicine, Nursing Campus Maharajgunj
K Silwal
Tribhuvan University Institute of Medicine, Nursing Campus Maharajgunj
Keywords
eclampsia, pregnancy induced hypertension, pre-eclampsia
Identifier
https://doi.org/10.59779/jiomnepal.599