A CLINICAL STUDY OF 100 CASES OF ECLAMPSIA AND 50 CASES OF SEVERE PREECLAMPSIA WITH OUTCOME OF TREATMENT WITH MAGNESIUM SULPHATE AND KEEPING LYTIC COCKTAIL AS CONTROL IN 10 CASES OF ECLAMPSIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 28
Abstract
BACKGROUND Eclampsia and severe preeclampsia are still major contributors to maternal mortality all over the world. Although, incidence has gone down in developed countries, incidence is still very high in developing countries. In our country, incidence of preeclampsia is 5 - 15%, whereas incidence of eclampsia among hospital admissions is 1 in 500 to 1 in 30. Incidence varies among different areas of same country. Lack of awareness for antenatal check-up, illiteracy, unavailability of quality antenatal check-up facility etc. are main causes why PIH and Eclampsia are diagnosed late and many a times patients come with complications like pulmonary oedema, coagulation failure, accidental haemorrhage, acute renal failure etc. Gold standard treatment of severe preeclampsia and eclampsia is MgSO₄ along with antihypertensive and induction of labour to expedite the delivery within 12 hrs. and 24 hrs. in eclampsia and severe preeclampsia respectively. But still in remote areas, MgSO₄ is not available. This study was undertaken to see the outcome of treatment with MgSO₄ in 100 cases of Eclampsia and 50 cases of severe Preeclampsia, keeping lytic Cocktail (Menon 1961, chlorpromazine, promethazine and pethidine injections) as control in 10 cases of Eclampsia.
Authors and Affiliations
Shilpi Rani, Bratati Moitra
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