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
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- EP ID EP475405
- DOI 10.26611/1012634
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