Aim: To determine the major maternal
complications in patients presented with severe pre-eclampsia.
design: Descriptive study
Place and duration: Department of
Gynecology & Obstetrics, Ayub Teaching Hospital Abbottabad from 17th
April 2010 to 16th 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
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.
Pre-ecalmpsia, HELLP Syndrome, Placental abruption,