Eclampsia is responsible for 34% of maternal mortality in Pakistani tertiary care hospitals among women admitted for delivery. Objective: To evaluate risk factors associated with eclampsia patients as well as the perinatal maternal effects in patients. Methods: Overall, 250 patients were involved in this research who were diagnosed with eclampsia. The data were collected from the medical records of the patients. The medical records contained information related to the patient's pregnancy history, characteristics, medical history, obstetric history, information related to admission to the hospital, maternal outcomes, and treatment provided at the hospital. For statistical analysis, SPSS version 21.0 was used. Results: There were 21689 women who gave birth in the hospital during the research process and 250 patients (1.15%) were diagnosed with eclampsia out of which 4 women died and had a case fatality rate of 1.6 %. The major risk factors associated were young age, already existing medical conditions, education level being low, low antenatal attendance, and nulliparity. HELLP syndrome was the most common consequence with a percentage of 15.6. All patients were provided with medication of magnesium sulfate. However, there was an absence of parenteral antihypertensive therapy. A total of 46 women (18.4 %) gave birth through vaginal delivery. Conclusions: According to our findings, eclampsia is still a key risk to maternal survival. Poor socioeconomic status, lack of education, and inadequate antenatal care were found as major risk factors

Aim: To determine the risk factors for postpartum hemorrhage. Study design:A retrospective case-control study Place and duration: This study was conducted at Bolan Medical College and Hospital Quetta from January 2021 to January 2022. Methodology: A total of 115 patients with PPH were identified in the given data.A case was categorized based on blood loss of more than 1500 mL or needing the transfusion of blood due to excessive postpartum blood loss. According to the exclusion criteria, those women who were transfused blood due to anemia were not included in the present study. A total of 225 cases were randomly chosen as controls. Those women did not report having PPH. Results: According to the data collected in our study, a total of 4695 babies were delivered in the given duration of time. Out of those, 115 were identified as cases and 225 were considered as random controls. The frequency of PPH was 2.45%. The commonest etiology of PPH was atony of the uterus (60%) and complications related to the placenta (36%). The risk factors determined to cause PPH was a positive history of PPH, anticoagulant drugs, anemia, severe pre-eclampsia, fibromas in the uterus, multiple pregnancies, and the use of assisted reproduction technologies. Conclusion: Patients having a positive history of PPH are most likely to develop severe PPH. It is the most significant risk factor. The most significant risk factor to cause severe PPH was a positive history of PPH, anticoagulation drugs, severe pre-eclampsia, anemia, multiple pregnancies, and uterine fibromas Keywords: Case-control study, postpartum hemorrhage, Risk factors, High-risk, Obstetric interventions