Factors affecting maternal outcome in antepartum eclampsia in BRD Medical College, Gorakhpur

Background: Eclampsia is still prevalent in India with high maternal mortality. Aim: To analyse the factors affecting maternal outcome in antepartum eclampsia in BRD Medical College, Gorakhpur. Method: The present observational prospective study was undertaken in the Department of Obstetrics and Gynecology, BRD Medical College, Gorakhpur from August 2015 to July 2016. Women who presented with antepartum eclampsia were included in the study. Data analysed included various maternal parameters and the outcome of pregnancy. Results: During the defined period, incidence of antepartum eclampsia was 8.9%. Maternal death occurred in 3.7% of patients. Maternal outcome was significantly affected by numbers of convulsions, convulsion delivery interval, raised systolic and diastolic blood pressures and degree of proteinuria. However, age, parity and religion were not found to have any effect on maternal outcome. Conclusion: Better antenatal care, early recognition of disease, timely referral, and early initiation of treatment and termination of pregnancy improves outcome of eclampsia patients. Management of eclamptic patient should be performed at tertiary care centres, where ICU facilities, NICU facilities and multidisciplinary units are available.