Evaluation of Pregnancy Outcome in Severe Preeclampsia
Abstract
Background: Hypertensive disorder represent the most common medical complication of pregnancy affecting between 7 to 15 percent of all gestation and account for approximately a quarter of all antenatal admission. In Bangladesh the incidence of this killer disease is still high and it is third major cause of maternal death in our country. Objective: To evaluate pregnancy outcome in severe preeclampsia. Study design: Observational cross sectional study. Place of study: In Obstetrics & Gynaecology ward of BSMMU, Dhaka. Period of study: March, 2015 to August, 2015. Sample size: 30 patients were selected by purposive sampling. Methods: The data were collected by the active participation of the patients' interview by the preformed proforma of data collection sheet and then data were gathered, decorated, tabulated after data cleaning and edition. Then the results were found and they were tested by the student's unpaired t test (quantitative data) and chi-square test (qualitative data) to see their level of significance i,e p-value which was set as the cut off level at <0.05. So if p-value is >0.05 the results are no significant.Results: The mean age of 30 mothers were 27.65 (± 5.85) years. The maximum 19 (63.33%) patients were from 20-34 years age group. Among the 30 mothers with severe preeclampsia, 12(40%) were primiparous and rest 18 (60%) were multiparous. To ensure safe delivery 14(46.67%) mothers adopted LSCS whereas 10(33.33%) adopted vaginal delivery with episiotomy. The rest 6 (20%) underwent VD. Regular ANC ensured only 6 (20%) respondents whereas rest 80% replied that they were either irregular ANC or no ANC. The most common complications mothers faced was abruptio placenta (28.57%) followed by convulsion (14.28%) and HELLP syndrome (9.52%). Amo. Neonatal mortality was found in 4 cases out of 30. 60% neonate experienced low birth weight. 45% babies required neonatal ward admission whereas 62% required resuscitation. Conclusion: In conclusion, it may be assumed that though various fetal and maternal morbidities may occur in case of severe preeclampsia but mortality is seen only in case of neonates. Maternal mortality has been almost disappeared in our perspective in case of severe pre-eclampsia.
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