A clinical study of perinatal and maternal morbidity and mortality in gestational hypertension, preeclampsia and eclampsia

Keywords: gestational hypertension, preeclampsia, eclampsia, preterm, prematurity, perinatal death, intrauterine death, neonatal intensive care unit (NICU), labetalol, magnesium sulphate, hypertensive disorders

Abstract

In India, hypertensive disorders complicating pregnancy are common and continue to be responsible for the largest proportion of perinatal deaths resulting from prematurity and IUGR and are major contributors to perinatal and maternal morbidity and mortality.

The aim: The present study is undertaken to analyse the cases of preeclampsia and eclampsia, including consequences concerning preterm delivery, IUGR, IUD and stillbirth and for the evaluation of a safe motherhood program at the population level.

Materials and methods: The present study was conducted on 105 selected cases from the census (sample of 12,589 patients) of pregnancy-induced hypertension (gestational hypertension, preeclampsia and eclampsia).

Results: Hypertensive cases complicating pregnancy of the foetal deliveries conducted during the study period, out of which Gestational hypertension (GTN) cases reported were 44. Preeclampsia (PE) cases were 39, severe preeclampsia (SPE) were 1 and Eclampsia cases were 21. Labetalol alone was used in 62 cases, and 44 babies were born without any complications. As an anticonvulsant magnesium sulphate (MgSO4, 7H2O) was used in all cases of imminent eclampsia and eclampsia (MgSO4 PRITCHARD Regime) in a total number of 38 cases. Preterm / prematurity was the most common cause of perinatal death. The total number of NICU admissions was 42 (40 %).

Conclusions: The early use of anti-hypertensive drugs, the optimum timing of delivery, strict fluid balance, and anticonvulsants in cases of eclampsia will help to achieve a successful outcome. Early transfer to a specialist centre is important, and the referral centres should be well-equipped to treat critically ill patients.

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Author Biographies

Amritha Aurora Meduri, Osmania Medical College

Department of Obstetrics and Gynaecology

Laxmi Aravelli, Osmania Medical College

Department of Obstetrics and Gynaecology

Kundena Srilaxmi, Osmania Medical College

Department of Obstetrics and Gynaecology

Swathi Rallabhandi, Osmania Medical College

Department of Obstetrics and Gynaecology

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Published
2023-01-31
How to Cite
Meduri, A. A., Aravelli, L., Srilaxmi, K., & Rallabhandi, S. (2023). A clinical study of perinatal and maternal morbidity and mortality in gestational hypertension, preeclampsia and eclampsia. EUREKA: Health Sciences, (1), 10-22. https://doi.org/10.21303/2504-5679.2023.002786
Section
Medicine and Dentistry