Eclampsia in India Through the Decades

Nobis, PN; Hajong, Anupama

doi:10.1007/s13224-015-0807-5

Cited by 55 publications

(66 citation statements)

References 11 publications

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“…15 Study done by Shobhabembalgi, Fisher N et al and many case reports had reported incidence of PRES is more in postpartum period. 9,13,[16][17][18] In the present study group we observed the 73.3% and 26.7% of the patients had PRES during the antepartum and postpartum respectively and is similar to Manavi PJ study. 15 A study done by Brewer J reported that no significant difference between incidence of PRES in antepartum or postpartum eclamptic patients.…”

Section: Resultssupporting

confidence: 87%

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Maternal and perinatal outcome in eclampsia complicated by posterior reversible encephalopathy syndrome; a three years’ experience in a tertiary care hospital

Karanth

Gonsalves

Sheela

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Background: PRES can be associated with number of medical conditions and was observed frequently in patients with preeclampsia and eclampsia. Neuroimaging is important for the diagnosis of PRES. Study was conducted to find out the maternal and perinatal outcome in patients with eclampsia complicated by posterior reversible encephalopathy syndrome (PRES).Methods: This is a retrospective study done at St. Johns Medical College Bangalore, between October 2013 and October 2016. We reviewed case records of all the patients with eclampsia who underwent neuro imaging studies and a diagnosis of PRES was made. The maternal and perinatal outcomes in these women were studiedResults: In the past three years we had 55 cases of eclampsia who underwent neuroimaging studies for persistent neurological symptoms after 24 hours of MgSO4 treatment. Of these women 30 were diagnosed to have PRES. In the present study PRES was common in multiparous women and more in patients with antepartum eclamptic women. Mean age at diagnosis of PRES was 26±5.1 years. Common presenting symptoms were headache (93.3%) and vomiting (53.3%). The mean SBP/DBP was 180/110 mmHg. All patients who had recurrent seizures were controlled with MgSO4 alone. 53.3% of our patients had eclampsia related complications and 36.7% required ICU care. There were 3 maternal deaths (10%). Perinatal mortality was 20%.Conclusions: Neuroimaging in eclamptic patients with persistent neurological symptoms could help in early diagnosis of PRES and multidisciplinary approach in management could contribute significantly in reducing the maternal mortality and morbidity.

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Section: Resultssupporting

confidence: 87%

“…12 Incidence of eclampsia in the present study is 0.7%, while incidence reported from other parts of India 2.1%. 13 The global incidence of PRES is unknown. Incidence of PRES in our hospital is higher (0.4%) compared to other studies.…”

Section: Resultsmentioning

confidence: 99%

Maternal and perinatal outcome in eclampsia complicated by posterior reversible encephalopathy syndrome; a three years’ experience in a tertiary care hospital

Karanth

Gonsalves

Sheela

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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“…9 Our study depicts that 55 (79%) patients were from urban area, 46 (66%) were illiterate, 62 (88.5%) were unbooked of low socio-economic status and with irregular ANC check-up which is comparable to other studies. 7,9,10,11 This shows that in spite of available health care services in urban areas still due to illiteracy irregular ANC check-ups, eclampsia persists to be a problem in India thus increasing maternal mortality. Majority of the cases 43 (61%) were primigravida as discussed by other studies.…”

Section: Discussionmentioning

confidence: 99%

Foetomaternal Outcome in Eclampsia in Tertiary Care Hospital

Tuli¹,

Rathi²,

Garg³

et al. 2018

jemds

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BACKGROUND Eclampsia is defined as preeclampsia with convulsions that cannot be attributed to another cause. Eclampsia continues to be a major cause of maternal morbidity and mortality. MATERIALS AND METHODSIt was a retrospective descriptive study conducted in Christian Medical College and Hospital, Ludhiana over a period of 5 years. During this period, 70 patients of eclampsia were studied and the incidence of eclampsia, socio-demographic parameters, clinical presentation, type of eclampsia, mode of delivery and its foetomaternal outcome were noted. RESULTSIncidence in our study was 1.01%. This study showed that eclampsia was seen between 19 -24 years of age group, in primigravida, unbooked and illiterate patients. Antepartum eclampsia was seen in 46 (60%) patients. Vaginal delivery occurred in 36 patients and 34 patients had LSCS. Most common complications were HELLP syndrome, pulmonary oedema and acute renal failure. Overall, 4 maternal deaths were reported. Neonatal outcome included live births in 57 (81.42%), fresh still births in 8 (11.42%) and 5 (7.14%) already had intrauterine deaths. Foetal complications like severe birth asphyxia, respiratory failure, hyaline membrane disease and meconium aspiration syndrome were seen. CONCLUSIONEclampsia remains a major cause of maternal mortality in India, resulting from unplanned pregnancies and unsupervised deliveries. To defeat this powerful enemy, and decrease the burden of maternal deaths, we need to educate and encourage the general public to opt for prompt antenatal, intranatal and postnatal care.

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“…The rate of eclampsia in our institution was 0.21% while in a study conducted by Nobis PN et al, the average incidence in India is 1.5%. 9 The rate of pregnancyinduced hypertension (PIH)/preeclampsia was higher in the control group (16.22% vs. 12.12%). Most of the patients in control group were referred from periphery due to severe PIH/severe preeclampsia.…”

Section: Fouedjiomentioning

confidence: 95%

Complications and Outcomes of Pregnancy in Women With Sickle Cell Anaemia- A Study Conducted in a Tertiary Care Centre in North Kerala

A¹,

Tresa²

2017

jemds

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BACKGROUNDMany studies have shown that pregnancy in sickle cell anaemia is associated with increased risk of maternal and foetal morbidity and mortality. There is little data on the maternal, foetal and perinatal outcomes of women with sickle cell anaemia in India. No such studies were conducted in Kerala. This study evaluated the various complications and outcomes of pregnancy in women with sickle cell anaemia (HbSS).

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Eclampsia in India Through the Decades

Cited by 55 publications

References 11 publications

Maternal and perinatal outcome in eclampsia complicated by posterior reversible encephalopathy syndrome; a three years’ experience in a tertiary care hospital

Maternal and perinatal outcome in eclampsia complicated by posterior reversible encephalopathy syndrome; a three years’ experience in a tertiary care hospital

Foetomaternal Outcome in Eclampsia in Tertiary Care Hospital

Complications and Outcomes of Pregnancy in Women With Sickle Cell Anaemia- A Study Conducted in a Tertiary Care Centre in North Kerala

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