PERINATAL OUTCOME IN PATIENTS WITH SEVERE PRE-ECLAMPSIA IN PEMH

Abstract

Introduction:  Maternal, fetal, and neonatal death and morbidity are mostly caused by preeclampsia and other hypertension disorders of pregnancy.  Early detection is crucial, and treatment options include antihypertensive medication, seizure prevention, and, in more serious situations, prompt delivery.  The availability of specialized care during labor and after delivery, timely referral to a tertiary care facility, early disease detection, routine prenatal checkups, and timely mode of delivery decisions can all help to improve adverse maternal and perinatal outcomes.

Study design: Descriptive study.

Methodology:  There were 163 women between the ages of 20 and 45 who had late-onset pre-eclampsia.  Individuals with preexisting liver disease, kidney disease, diabetes, heart disease, or chronic hypertension without proteinuria were not included.  Eclampsia, abruptio placenta, cesarean section, acute renal failure, apgar score <7 at 1-minute, preterm birth, IUGR, and low birth weight (yes/no) were all examples of fetamaternal outcomes.

Results: Among pre-eclamptic women in this study, 91 (55.83%) had a cesarean delivery, 18 (11.04%) had eclampsia, 13 (7.98%) had abruption placenta, and 13 (7.98%) had acute renal failure.  The results showed that 41 (25.15%) had IUGR, 63 (38.5%) had preterm birth, 69 (42.33%) had an apgar score of less than 7 at 1 minute, and 49 (30.06%) had low birth weight babies.

Conclusion: This study came to the conclusion that in order to lower the morbidity and mortality rates for both the mother and the fetus, appropriate protocols for prenatal monitoring and management plans should be created for these high-risk patients.