Obstetric management of eclampsiaandndash; A clinical study in Chittagong medical college and hospital (CMCH)

Abstract

Eclampsia continues to be a major cause of maternal and perinatal mortality in developing countries. Early identification and management of pre-eclampsia will help reduce the mortality due to eclampsia. The study aims to determine the outcome of obstetric management of eclampsia. It was a cross sectional observational study conducted between July 2019 and December 2019 in the Department of Obstetrics and Gynaecology, Chittagong Medical College and Hospital (CMCH), Chattogram, Bangladesh with an aim to evaluate the socio-demographic profile of eclamptic patients, determine the maternal and foetal mortality and morbidity in vaginal delivery with compared to that of caesarean delivery as well as to compare the outcomes of labour in patients with eclampsia. The study population was eclampsia with singleton pregnancy presenting during study period. Patients who had no other obstetric indication of caesarean section were allowed for vaginal delivery. Labour was monitored carefully. A total of 53 eclamptic patients underwent caesarean section and remaining 47% was delivered vaginally. There was not a significant difference in maternal and fetal outcome in both groups with a perinatal mortality 20.8% vs. 14.9% and maternal mortality 3.8% vs. 4.3% in caesarean section and vaginal delivery group respectively.