Eclampsia in Pregnancy: A Prospective Study on Incidence, Management, and Maternal Characteristics
DOI:
https://doi.org/10.48047/Keywords:
Eclampsia, Pregnancy complications, Maternal health, Antenatal care, MgSO4 treatment, Preeclampsia, Convulsions, Hypertension, Primigravida, Obstetric care.Abstract
Introduction: Eclampsia, characterized by generalized convulsions associated with preeclampsia during pregnancy, labor, or within 7 days post-delivery, remains a significant challenge in maternal healthcare. This study explores the incidence, management, and maternal characteristics of eclampsia, emphasizing the importance of early diagnosis and timely intervention.
Materials and Methods: A two-year prospective study was conducted at a Tertiary Care Teaching Hospital, recruiting 821 pregnant mothers with eclampsia. Patients with other causes of pregnancy-related convulsions were excluded. Data on convulsion episodes, treatment modalities, and hypertension control were analyzed.
Results: The majority (66%) experienced 2 to 5 convulsion episodes, with a range from 1 to 40. Patients with more than 10 convulsions showed improved outcomes after the Loading Dose of MgSO4. Hypertension control solely through delivery was observed in 29% of cases, with additional administration of Calcigard in some instances.
Conclusion: Eclampsia, more prevalent in young primigravida patients, underscores the need for enhanced antenatal care surveillance. Early detection of pre-eclampsia through regular blood pressure monitoring and urine protein screening is crucial. Sensitization of healthcare providers at grassroots levels is imperative for ensuring timely diagnosis and effective management, thus positively impacting maternal and child care outcomes.
