Comparison of maternal and neonatal outcomes in severe preeclampsia cases with early intervention and late presentation in rural area
Journal Title: Medpulse International Journal of Gynaecology - Year 2018, Vol 6, Issue 3
Abstract
Background: Preeclampsia is a multisystem, highly variable disorder unique to pregnancy and a leading cause of maternal and fetal morbidity and mortality. Early detection is very important in severe cases. Aim: To compare maternal and neonatal outcomes in severe preeclampsia cases with early intervention and late presentation in rural area. Material and Methods: In this observational study the comparison was done between 25 cases each of early intervention (Group A) and late presentation (Group B) in 50 cases of severe preeclampsia. All patients of severe preeclampsia presented in outpatient department were considered for early intervention and those in labor were selected as late presentation. Maternal and neonatal outcomes were recorded. Results: The results were maternal mortality in severe preeclampsia in early intervention was nil and in late presentation was 16%. Maternal complications were also significantly less in early intervention. Maternal morbidity studied as hospital stay <1 week and >1week in severe preeclampsia (Group A) was 16% and (Group B) was 40%. NICU admissions in severe preeclampsia in early intervention were 12% and late presentation 28%. Apgar score at 5 min of 8-10 in early intervention andlate presentation was 80%and 64% respectively. Conclusion: Early intervention in severe preeclampsia are associated with better maternal and neonatal outcomes than in late presentation.
Authors and Affiliations
Sanjay Bansode, Mitali S Golechha
Keywords
Related Articles
- EP ID EP359777
- DOI -
- Views 155
- Downloads 0
A study of epidemiology and prevalence of pregnancy induced hypertension (PIH) in pregnant women
Background: Worldwide, 10 % of all pregnancies are complicated by hypertension, with pre-eclampsia and eclampsia being the major causes of maternal and prenatal morbidity and mortality Aims and Objectives: To Study Epide...
Effect of structured diet and lifestyle counseling in preventing excessive gestational weight gain in pregnancy: A prospective randomized control study
Background: Effects of gestational weight gain on pregnancy are well recognized. Over the past decades the guidelines for ideal weight gain have been periodically questioned and revised. The present study aimed effect of...
The role of transvaginal sonography in measurement of endometrial thickness in post and perimenopausal women
Background: Endometrial cancer is one of the most common gynaecologic malignancy yet also one with the best survival statistics Aim: Was to determine the value of transvaginal sonography in detecting endometrial thicknes...
A study of role of colposcopy in detecting cervical cancerous lesions
Background: Cervical cancer is the second most common cancer among women worldwide, and it is responsible for 275,000 deaths each year Aims and Objective: To Study role of colposcopy in detecting cervical cancerous lesio...
Hypothyroidism in pregnancy
Background: Thyroid physiology is perceptibly modified during normal pregnancy. These alterations take place throughout gestation, help to prepare the maternal thyroid gland to cope with the metabolic demands of pregnanc...