Maternal and Perinatal Outcome of Posterior Reversible Encephalopathy Syndrome (PRES) in Patients with Eclampsia at Tertiary Health Care Centre

Deshmukh, Varsha; Gangurde, Vikas R.; Gadappa, Shrineewas

doi:10.1007/s13224-021-01585-9

Cited by 2 publications

(3 citation statements)

References 25 publications

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“…An elevated blood bilirubin level with an elevated serum LDH usually (.600 U/L) is highly diagnostic of HELLPset of symptoms. 18 Serum bilirubin levels were elevated in our investigation, above the 1.2 mg/dL threshold considered safe during pregnancy [30]. Increased serum bilirubin was seen in 57% of individuals.…”

Section: Discussionmentioning

confidence: 46%

“…Moreover, infants delivered to women in the HDP sets were more likely to need resuscitation (28.8%) and hospital admission (20.3%) than those born to women in the control cluster (6.5%). According to research by Perloff et al, the risk of death for a baby born to a mother with preeclampsia is five times greater than that of a baby born to a mother without the condition [30]. Complications during pregnancy, difficulty giving birth, and maternal death were included as indicators of maternal outcome.…”

Section: Discussionmentioning

confidence: 99%

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Fundoscopic Findings in Pregnancy Related Hypertensive Disorders and Its Association with Maternal and Fetal Outcomes

Fakhir¹,

Shamsher²,

Anbreen³

et al. 2022

PJMHS

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Objectives: To determine the prevalence of retinal changes in pregnancy-related hypertensive disorders and their association with maternal and fetal outcomes. Introduction: There is a grave risk to both mother and child when hypertensive problems complicate pregnancy. However, hypertensive sort of disorders during pregnancy have been allied to poor maternal and also neonatal outcomes. This research aimed to evaluate effects of hypertensive sort of disorders of pregnancy on both mothers and their unborn children by analyzing the prevalence, causes, and treatment of these conditions. Subjects and methods: BBH Rawalpindi, Inpatient Department of Gynecology and Obstetrics conducted the case-control research during the period from January 2021 to June 2021. In all, 149 patients participated in the research. Because seven patients could not be located, 142 cases were analyzed. Mild class preeclampsia (65.0 instances), severe class preeclampsia (32.0 hot cases), and also eclampsia (one case) were the subcategories used to categorize patients further, according to research. Thirty-one women who were not hypertensive throughout pregnancy were enlisted as controls. Results: Ninety percent of cases manifested with some edema. About a quarter basically patients had proteinuria above 300.0 mg/24 hours (26.76%), nearly half had proteinuria over two g/24 hours (47.18%), and about a quarter had urine protein based excretion of 3.0-5.0 g/24 hours (25.35%). Usually, incidence of specially HELLP (normally hemolysis, increased liver based special enzymes, and also squat platelet tot up) set of symptoms was 2.80%, raised bilirubin levels were seen in 47%, illustration symptoms occurred in 6.4%, vaginal based hemorrhage occurred in 11.30%, in addition to 42.2% of cases involved the central nervous system. It was shown that eclampsia was the cause of mortality in 2.8% of all maternal deaths. 16.9 percent of births were stillbirths, while 4.23 percent of newborns died. Conclusion: Compared to pregnant women with normal blood pressure, those who suffer from hypertensive disorders of pregnancy have a higher risk of having a baby born with complications. Our research did find a declining trend, although it was less than those seen in other studies; this may be because more of our study's births occurred in hospitals. Keywords: Neonatal outcome, maternal outcome, acute renal failure, and the HELLP syndrome

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Section: Discussionmentioning

confidence: 46%

Section: Discussionmentioning

confidence: 99%

Fundoscopic Findings in Pregnancy Related Hypertensive Disorders and Its Association with Maternal and Fetal Outcomes

Fakhir¹,

Shamsher²,

Anbreen³

et al. 2022

PJMHS

View full text Add to dashboard Cite

show abstract

“…It suggested that PRES should be taken into consideration for prompt intervention, and that involves antihypertensive and anti-cerebral edoema measures. 10 In order to lower eclampsia-associated maternal and neonatal morbidity and mortality, a retrospective review conducted in a referral hospital recommended appropriate prenatal care, early management of pre-eclampsia, and prompt referral. 11 In order to enhance neonatal and mother outcomes, a tertiary care hospital's study identified eclampsia as a primary cause of perinatal mortality.…”

Section: Discussionmentioning

confidence: 99%

Evaluating maternal and perinatal outcomes of eclampsia at a tertiary healthcare facility in Bihar, India: a retrospective study

Kumari,

Swati,

Kumar

et al. 2024

Int J Res Med Sci

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Background: Eclampsia, characterized by seizures in women with preeclampsia, is a leading cause of mother and neonatal illness and death globally. Despite advancements in obstetric care, eclampsia remains a significant concern, especially in nations with poor and medium incomes. The aim of the study is to comprehensively assess the maternal and perinatal outcomes associated with eclampsia cases treated at a tertiary healthcare centre with the goal of improving understanding and management strategies for this serious medical condition. Methods: This retrospective observational study was conducted over 12 months. Data were collected from 200 eclampsia cases, focusing on demographic information, obstetric history, clinical characteristics, obstetric interventions, maternal complications, and perinatal outcomes. Statistical analysis was accomplished using SPSS version 21. Results: The mean age of patients was 28.5 years, with a majority (65%) being multiparous. Antepartum eclampsia was the most common clinical type (60%). Emergency caesarean section was performed in 70% of cases. Maternal complications included pulmonary edema (45%) and renal failure (25%), with a maternal mortality rate of 5%. Pre-term births occurred in 40% of cases, with an average gestational age at birth of 32 weeks. Additionally, 35% of newborns were low birth weight, and the perinatal mortality rate was 15%. Conclusions: This study highlights the substantial burden of neonatal and mother morbidity and death related with eclampsia in Bihar, India. Effective management strategies, including timely diagnosis, obstetric interventions, and preventive measures, are crucial in mitigating the adverse outcomes of eclampsia. Improving access to antenatal care, early detection of pre-eclampsia, and enhancing obstetric care services are essential in reducing the impact of eclampsia. Furthermore, continuous medical education programs for healthcare providers can enhance their knowledge and skills in managing eclampsia cases effectively.

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Maternal and Perinatal Outcome of Posterior Reversible Encephalopathy Syndrome (PRES) in Patients with Eclampsia at Tertiary Health Care Centre

Cited by 2 publications

References 25 publications

Fundoscopic Findings in Pregnancy Related Hypertensive Disorders and Its Association with Maternal and Fetal Outcomes

Fundoscopic Findings in Pregnancy Related Hypertensive Disorders and Its Association with Maternal and Fetal Outcomes

Evaluating maternal and perinatal outcomes of eclampsia at a tertiary healthcare facility in Bihar, India: a retrospective study

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