FETOMATERNAL OUTCOME IN EARLY ONSET SEVERE PRE ECLAMPSIA

Introduction:Preeclampsia is a multisystem disorder occurring exclusively during pregnancy whose exact etiology is yet unknown. It occurs in approximately 5-7% of pregnancies. Early onset preeclampsia (<34 weeks gestational age) occurs in less than 1% of pregnancies and is often associated with maternal morbidity as the riskof progres­sionto severe maternal disease is inversely related with gestational age at onset.

Material And Methods:100 pregnant women admitted to labor room in the department of OBG, Govt. medical college,Kota Rajasthan between 1 February 2021 – 31 January 2022who fulfilled the criteria ( Gestational age ≥ 24 weeks &< 34 weeks , diastolic BP ≥ 110 mm Hg, with any features of severe pre eclampsia ) were included in this study .

Results:In the present study, Out of 100 patients of early onset severe preeclampsia was more common in Primigravida 59(59%)in the age group of 21-30 years. Mean gestational age at diagnosis was 31weeks 3 days ± 2weeks 3 days. Most underwent termination of pregnancy after 32 weeks. Maternal indication was found to be the most common cause for termination. 31(31%) patients of the total experienced complication like imminent eclampsia, HELLP syndrome ,Acute renal failure and abruption placentae . 65 (65%) delivered by caesarean section. Mean birthweight was 1.59 kg ± 0.5kgand neonatal complication rate was 71(71%).

Conclusion:Early onset severe preeclampsia is associated with significant maternal and fetal complications. Decision regarding termination of pregnancy has to be taken based on both maternal and fetal factors.