Fetomaternal Outcome In Severe Pre Eclampsia

Abstract

ABSTRACT: Hypertensive disorders of pregnancy are a major cause of maternal morbidity and mortality.
Preeclampsia is characterised as mild or severe. Features of severe preeclampsia include severe proteinuria,
hypertension, symptoms of central nervous system dysfunction, hepatocellular injury, thrombocytopenia, oliguria,
pulmonary oedema, cerebrovascular accident and severe intrauterine growth restriction. AIM: To determine feto
maternal outcome in severe preeclampsia. MATERIALS AND METHODS This prospective, observational study
was worked out in the Dept. of Obstetrics and Gynaecology, MKCG Medical College Berhampur, Odisha from
September 2017 to december 2018. Cases of severe preeclampsia were identified. Routine Blood samples were
collected for laboratory evaluation. Maternal complications such as eclampsia, HELLP syndrome, acute renal
insufficiency, disseminated intravascular coagulation, placental abruption, cerebral and visual disturbance, oliguria,
IUGR, pulmonary oedema and fetal complections were recorded. RESULTS Among the cases of severe
preeclampsia, most were in the age group of 21 - 30 years (56%), were illiterate (57.8%) and stayed in rural areas
(72.9%). Most of them belonged to lower socioeconomic status (41.3%) followed by middle and majority were
booked cases (70.6%). Most common clinical feature was raised SBP (> 160) in 204 cases and DBP > 110 in 208
cases. Oedema was associated in 79.3% cases and rare feature like visual disturbances was seen in 3.8% of cases.
Most of the maternal complications were due to development of pulmonary oedema (29.3%) and most common
foetal complication observed was acute foetal distress (24.1%) followed by oligohydramnios (13.7%).
CONCLUSION The goals of therapy must always be the safety of the mother first and then consideration for
optimum perinatal outcomes.