Abstract

Hypertensive disorders of pregnancy are a major cause of maternal morbidity and mortality. Preeclampsia is characterised as mild or severe. Features of severe preeclampsia include severe proteinuria, hypertension, symptoms of central nervous system dysfunction, hepatocellular injury, thrombocytopenia, oliguria, pulmonary oedema, cerebrovascular accident and severe intrauterine growth restriction. AIM: To determine feto maternal outcome in severe preeclampsia. MATERIALS AND METHODS This prospective, observational study was worked out in the Dept. of Obstetrics and Gynaecology, MKCG Medical College Berhampur, Odisha from September 2017 to december 2018. Cases of severe preeclampsia were identified. Routine Blood samples were collected for laboratory evaluation. Maternal complications such as eclampsia, HELLP syndrome, acute renal insufficiency, disseminated intravascular coagulation, placental abruption, cerebral and visual disturbance, oliguria, IUGR, pulmonary oedema and fetal complections were recorded. RESULTS Among the cases of severe preeclampsia, most were in the age group of 21 - 30 years (56%), were illiterate (57.8%) and stayed in rural areas (72.9%). Most of them belonged to lower socioeconomic status (41.3%) followed by middle and majority were booked cases (70.6%). Most common clinical feature was raised SBP (> 160) in 204 cases and DBP > 110 in 208 cases. Oedema was associated in 79.3% cases and rare feature like visual disturbances was seen in 3.8% of cases. Most of the maternal complications were due to development of pulmonary oedema (29.3%) and most common foetal complication observed was acute foetal distress (24.1%) followed by oligohydramnios (13.7%).

Description

.