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. 2024 Apr 30;16(4):e59352.
doi: 10.7759/cureus.59352. eCollection 2024 Apr.

An Observational Study of Maternal and Perinatal Outcome in Preeclampsia Cases in a Tertiary Care Center

Affiliations

An Observational Study of Maternal and Perinatal Outcome in Preeclampsia Cases in a Tertiary Care Center

Minal A Kalambe et al. Cureus. .

Abstract

Introduction: Preeclampsia, a hypertensive disorder in pregnancy, is a multisystem disease of unknown etiology and is associated with an increased risk of maternal mortality and morbidity. Infants from preeclampsia mothers have significantly higher incidence of prematurity, somatic growth retardation, thrombocytopenia, low birth weight, respiratory distress syndrome, and long duration of admission to neonatal intensive care (NICU).

Aims and objectives: This study was done to study the maternal mortality and morbidity and foetal outcome in pregnant women with severe preeclampsia.

Method: This observational study was done in the Department of Obstetrics and Gynaecology, of a tertiary care centre, from the period October 2015 to October 2017. Data was collected from all 130 women attending the antenatal clinic of tertiary care hospital and ward admission and all details such as demographic details, obstetrics examination, and all clinical findings were noted and from that made results. Result: After applying inclusion and exclusion criteria all 130 women were observed in this study. Among 130 women 47 were diagnosed with preeclampsia. Mainly primigravida women were diagnosed with preeclampsia in the 21-25 years group. Among 47 preeclampsia women, 39 women had a BMI of 19-25 kg/m2. Thirty-two of 47 (68.09%) women were diagnosed with preeclampsia around 36-39 weeks. Among all preeclampsia, 28 women out of 47 (59.5%) women delivered babies vaginally, 18 of 47 (38.3%) women delivered through cesarean section, and one of 47 (2.13%) underwent preterm vaginal delivery. In preeclampsia, women's babies were delivered mostly (25/47, 53.19%) ≤2.5 kg weight and only one baby was shifted to NICU because of low birth weight. Preeclampsia increases maternal mortality and morbidity but in this study mortality was not done because our hospital is a tertiary care center with all ICU (intensive care unit) and NICU setup.

Conclusion: Preterm births and cesarean deliveries were the mild to severe outcomes that were noted. ICU and NICU hospitalizations as a result of severe complications place a heavy demand on medical facilities. There are firm guidelines for the management of pregnancy-induced hypertension and its complications. For appropriate management, there is careful consideration of various factors, and individual case studies are required.

Keywords: disseminated intravascular coagulation (dic); eclampsia; hellp syndrome; icu; nicu.; preeclampsia; pregnancy induced hypertension (pih).

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Conflict of interest statement

The authors have declared that no competing interests exist.

References

    1. Preeclampsia as a cause of preterm and late preterm (near-term) births. Sibai BM. Semin Perinatol. 2006;30:16–19. - PubMed
    1. Maternal and perinatal outcomes in hypertensive disorders of pregnancy and factors influencing it: a prospective hospital-based study in Northeast India. Panda S, Das R, Sharma N, Das A, Deb P, Singh K. Cureus. 2021;13:0. - PMC - PubMed
    1. Gestational hypertension and preeclampsia: ACOG practice bulletin, number 222. Obstet Gynecol. 2020;135:0–60. - PubMed
    1. Study of fetal and maternal outcome in eclampsia. Kaur K, Shrivastav RD, Rahatgaonkar V, Bhosale UT. Int J Recent Trends Sci Technol. 2014;11:42.
    1. The risks associated with obesity in pregnancy. Stubert J, Reister F, Hartmann S, Janni W. Dtsch Arztebl Int. 2018;115:276–283. - PMC - PubMed

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