ABSTRACT

Aim: To determine the major maternal complications in patients presented with severe pre-eclampsia.

Study design: Descriptive study

Place and duration: Department of Gynecology & Obstetrics, Ayub Teaching Hospital Abbottabad from 17^th April 2010 to 16^th October 2010.

Methods: One hundred and ten patients with ages 18 to 40 years presented with pre-eclampsia were included in this study. Patients detailed demographic including age, parity, gestational age, and body mass index were recorded after taking written consent. Patients complete blood picture was examined. Complications associated with preeclampsia were examined.

Results: Twenty two (20%) were ages <20 years, 48(43.64%) were ages 20 to 30 years, 36(32.72%) were ages 31 to 40 years and 4(3.64%) were ages above 40 years. 42(38.18%) were primigravida while 68(61.82%) were multigravida. Mean gestational age was 33.45±4.68 weeks. HELLP syndrome found in 20(18.18%) patients, 10(9.09%) patients had eclampsia, and 14(14.55%) patients had placental abruption, coagulopathy found in 3(2.73%) patients, 2(1.82%) patients developed acute renal failure and 2 (1.82%) patients were died.

Conclusion: Pre-eclampsia is highly associated with major maternal complications such as HELLP syndrome, eclampsia, placental abruption and maternal mortality.

Keywords: Pre-ecalmpsia, HELLP Syndrome, Placental abruption, Eclampsia, Mortality