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. 2016 Oct;66(Suppl 1):172-6.
doi: 10.1007/s13224-015-0807-5. Epub 2016 Jan 8.

Eclampsia in India Through the Decades

P N Nobis  1 , Anupama Hajong  1
Affiliations

Eclampsia in India Through the Decades

P N Nobis et al. J Obstet Gynaecol India. 2016 Oct.

Abstract

Background: Eclampsia is still prevalent in India with high maternal and perinatal mortality. In India, there is no community-based survey of eclampsia. Sporadic reports of study on eclampsia are being published in medical journals.

Objectives: The objective of this study was to find out the incidence of eclampsia and maternal and perinatal mortality in India.

Methods: Data on incidence, maternal mortality and perinatal mortality of eclampsia were collected from articles published in journals and from book of Abstract published during AICOG conferences from 1980 onwards, along with our own data from 1976 to 2014. Data were analyzed yearwise.

Results: Reports published from 1976 to 2015 (January-February) reveal that incidence of eclampsia in India ranges from 0.179 to 5 %, the average being 1.5 %. In the period between 1980 and 1989, the average incidence was 0.92 % and the corresponding figure between 2002 and 2010 was 2.15 %, indicating that there is no reduction in incidence of eclampsia in India over the decades. Maternal mortality in 1982 was 14.12 %, and in 2010 it was 2.2-9 %. Maternal mortality has shown a receding tendency, while perinatal mortality is remaining still high as in 1984 it was 45 % and the corresponding figure in 2010 was 24.5-48 %.

Conclusion: Incidence of eclampsia in India is about 1.5 %. Detail analysis of data from 1980 to 2015 (January-February) shows that there is no reduction in incidence of eclampsia and perinatal mortality rate over the last few decades. Maternal mortality has shown a slight receding trend.

Keywords: Eclampsia; Incidence; Maternal mortality; Perinatal mortality.

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Conflict of interest statement

Author Dr. P. N. Nobis has not received any grant for the study. Dr Anupama Hajong has not received any grant for the study. Dr. P. N. Nobis declares that he has no conflict of interest. Dr. Anupama Hajong declares that she has no conflict of interest. Ethical Statement This article does not contain any studies with animals performed by any of the authors. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Informed Consent Informed consent was obtained from all individual participants included in the study.

Figures

Fig. 1
Fig. 1
Bar diagram showing incidence
Fig. 2
Fig. 2
Bar diagram showing maternal mortality
Fig. 3
Fig. 3
Bar diagram showing perinatal mortality
See this image and copyright information in PMC

References

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    1. Doley L. Maternal mortality associated with hypertensive disorder of pregnancy in Africa, Asia, Latin America and Caribbean. Am J Obstet Gynecol. 1992;99:547–553. - PubMed
    1. Vanawalla NY, Ghamande S, Ingle KM. A five year Analysis of Eclampsia. J Obstet Gynecol India. 1989;39:513–515.
    1. Suman G, Somegowda S. Maternal and perinatal outcome in Eclampsia in a District Hospital. J Obstet Gynecol India. 2007;57:324.
    1. Sing K, Medhi R, Bhattacharjee AK, et al. Book of Abstract, 53rd AICOG, Guwahati 2010. p. 17.

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