Publication:

Observation of feto-maternal outcome in eclamptic patients

Background Eclampsia is a severe complication of pregnancy characterized by seizures and can lead to adverse feto-maternal outcomes. This study aimed to explore the relationships between socio-demographic factors, knowledge of eclampsia, clinical history, and feto-maternal outcomes in eclamptic patients.

Methods This prospective observational study was conducted at the Department of Gynecology and Obstetrics, 250 Bedded General Hospital, Pabna, Bangladesh, from September 2014 to October 2015, with a sample size of 48 eclamptic women who had given birth at the study hospital.

Results Among the 48 eclamptic patients at the study hospital, most were either 20 years old or younger (43.75%) or aged 21 to 30 (50.00%), averaging 21.75 years in age. In terms of education, half were literate, and 37.50% had completed secondary school. The majority recognized the importance of pre-eclampsia (75.00%) and antenatal care (87.50%) for feto-maternal outcomes. Eclamptic seizures affected 25.00% of patients, hypertension 18.75%, and edema 6.25%. Risk factors included 43.75% in the high-risk age category, 37.50% with irregular or no antenatal check-ups, and 12.50% being nulliparous. Regarding perinatal outcomes, 62.50% of neonates survived, while 6.25% were stillborn, 6.25% experienced neonatal death, and 12.50% suffered neonatal asphyxia. Most patients (72.92%) had no complications, but 25.00% endured postpartum depression.

Conclusions The findings underscore the importance of antenatal education programs and timely healthcare access for improving outcomes. By addressing these factors and emphasizing individualized care plans, healthcare providers can enhance maternal and neonatal well-being in eclamptic patients.