Roshan A Qazi, Aftab A Munir, Manzoor A Memon.
A Nine year experience of Eclampsia at Liaquat Medical College Hospital, Hyderabad.
Biomedica Jan ;12(1):1-7.

During a 9 year period 256 cases of eclampsia were managed at Maternity Unit-1 of this Hospital, giving an incidence of 2.04% (256/12, 542 total deliveries). Amongst them, 55% patients were primigravid, 51% had postpartum eclampsia and 48% developed convulsions at 37 weeks gestation. Diazepam was used as anticonvulsant, while methyldopa infusion and sublingual nifedipine were used as antihypertensive agents. Amongst them 59% patients delivered vaginally, 39% had Caesarean delivery, whereas 3 expired undelivered. Perinatal mortality was 63%, whereas maternal mortality was 8.2% (21 out of 256). Intracerebral haemorrhage was the leading cause of maternal death due to eclampsia. These findings emphasize the need for prevention of eclampsia by picking up the cases of pre-eclampsia from the community at an early stage, vigilant antenatal care, maternal stabilization before and during transfer to the specialized unit and intensive care monitoring at the hospital.


USER COMMENTS

excelent article ,it wil help us in our clinical practice.
Posted by: arifsoomro on Nov 2002

this is a very useful article for the doctors working in gynae units and other tertiary care hospitals.
Posted by: Irfana on Nov 2002

Respected madam i m also a PG student here in LUH. This is a very useful article but i,ve an objection that here u only emphasized on prevention but not how we people can be helpful.and u did,nt mention different modality of treatment that is MgSO4 (MORE HELPFUL WITH DECREASE PERINATAL AND MATERNAL MORTALITY AND MORBITY)
Posted by: DR KHAN on Dec 2003

I totally agree with Dr Khan about MgSO4. Traeting pre eclampsia or eclampsia without it is a sin. Having said that the problem of non availibility of magnesium is still a major issue. And checking Mg levels every two hourly would be another problem. But i hope some day we will start using it
Posted by: snz68 on Jan 2004

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