Abstract

Aim: To analyse the factors which affect the outcome of treatment in eclamptic patients in relation to regular antenatal attendance and non attendance in department of gynaecology and Obstetrics.

Study Design: Prospective study.

Place & duration of study: Department of Gynaecology & Obstetrics, Allama Iqbal Memorial Teaching hospital, Sialkot. Affiliated to Khawaja Muhammad Safdar Medical College, Sialkot from June 2017 to May 2020.

Methods: All patients serially presented in the obstetric emergency of Allama Iqbal Memorial hospital with eclampsia. The patients were classed in two groups: Group I- Patients having record of antenatal visits to our hospital Group II- Patients who were walk in patients and having no record of antenatal checkup. Patients were admitted and managed according to the set protocols and fetal and maternal outcome recorded in relation to mode of delivery and morbidity and mortality. All risk factors were recorded and variables analyzed.

Results: Among 597 booked cases, 4.52% patients presented with placental abruption, while among 440 non booked cases, 4.77% patients presented with placental abruption.11.22% of booked and 11.81% of unbooked developed acute renal failure. 2.17% of booked and 2.04% of unbooked females had CVA. About 7.53% of booked while 9.77% of unbooked had disseminated intravascular coagulation as a complication of eclampsia. Almost 0.50% of booked while 1.13% of unbooked cases died as a result of these or other complications developed because of eclampsia and pre eclampsia.

Conclusion: There is much higher frequencies of maternal as well as fetal morbidity and mortality among patients of eclampsia who are not attending the antenatal clinic as compared to those patients who attend antenatal clinics.

Keywords: Expectant management, outpatient management, seizure prophylaxis, CVA