AN OBSERVATIONAL STUDY OF SEVERE PRE-ECLAMPSIA IN PREGNANCY AT TERTIARY HEALTH CARE CENTER OF CENTRAL INDIA

Introduction: To study the effect of age, parity, mode of delivery and perinatal outcome in pregnant women with severe pre-eclampsia.

Method: The study covers 2 year period, during which 480 patients with severe pre-eclampsia were selected, treated and delivered. The study was focussed on age, parity, mode of delivery and perinatal outcome including birth weight and frequency of stillbirths in severe pre-eclampsia patients.

Result: In this study a high proportion (56.0%) was nulliparous women. Similarly, severe pre-eclampsia was encountered at a high percentage (45.5%) in women at the 20-24 years of their reproductive age, and maximum women with severe pre-eclampsia delivered at 37weeks or more (80%) . Spontaneous vaginal deliveries were less frequent in women with severe pre-eclampsia (34.5%) as compared to cesarean (60.5%). Cesarean section was mostly done due to fetal distress(44.9%). The perinatal outcome with severe pre-eclampsia shows 5.5% of fetal demise, out of which stillbirths (2.5%) and IUD (3%).

Conclusion: In our study we found a high proportion of severe preeclampsia cases occurring among nulliparous women and 20-24 years of age. There is also an increased incidence of cesarean section among the severe pre-eclampsia and were mostly due to fetal distress.