A comparative study of feto-maternal outcome in cesarean section versus vaginal delivery in eclampsia patients in a tertiary level hospital

Author: 
Himani Goyal., Sudipta Patnaik., Richa Sharma and Ashish Kumar Gupta

Context: Eclampsia is a multisystem disorder with high blood pressure, proteinuria, and the onset of convulsions. Eclampsia is essentially a disease of low socio-economic status of primigravida, a product of ignorance and neglect. It is a preventable disease. But unfortunately, its incidence is still uncomfortably high in any hospital accepting unbooked cases. It is being a leading cause of worse feto - maternal outcome in our country.
Aims: comparing the fetomaternal outcome and mode of delivery in eclampsia mothers in a tertiary care hospital of West Bengal.
Settings and Design: A comparative observational study was done in the eclampsia ward of our hospital.
Methods and Material: 100 eclampsia patients were taken who undergone cesarean and vaginal delivery and they compared for the fetomaternal outcome.
Statistical analysis used: statistical analyses (chi-square and unpaired student’s t-test) are done. P-value <0.05 will be taken as minimum Level of significance.
Results: Convulsion delivery interval is the concern in choosing the mode of delivery. Early termination reduces the complications in both mother and fetus. An early decision to cesarean section is better than waiting long for induction for vaginal delivery.
Conclusions: Caesarean section should be done at the optimum time and not as a last resort when conservative management has failed in eclampsia especially in primigravidas after 34 weeks of pregnancy.

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DOI: 
http://dx.doi.org/10.24327/ijcar.2021.25197.5028
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