ECLAMPSIA AND ITS ASSOCIATION WITH EXTERNAL FACTORS
AbstractBackground: Eclampsia remains a leading cause of maternal and perinatal mortality and morbidity.Primigravida are at higher risk of convulsions and antepartum convulsions are more dangerous thanthose beginning after delivery. This study was carried out to evaluate the epidemiological aspects ofpatients presenting with eclampsia in the catchment area of Saidu Teaching Hospital Swat. Methods:This descriptive non-interventional study was carried out in the Department of Obstetrics andGynaecology, Saidu Teaching Hospital Swat from 1st January 2007 to 31st December 2009. Nonprobability consecutive sampling method was used. All patients of eclampsia were included in thestudy. The diagnosis was based on history and confirmed on clinical findings. Inclusion criteria werepatients with hypertension, proteinuria and history of fits during pregnancy; labour and peurperiumwithin 7 days of delivery. Exclusion criteria were history of fits other than eclampsia. Results: A totalof 23,000 admissions were made in the labour ward during the study period. Out of them 108 cases(0.46%) were of eclampsia, 85 were primigravidae with no previous history of hypertension and 23were multigravidae with previous history of hypertension. The seasonal frequency of cases was 34.25%in winters, 17.59% in autumn, 21.29% in summers and 26.85% in spring. The incidence of eclampsiawas 79.62% in primigravida, and 75% in the age group 14–19 years. The prevalence was high(82.40%) in poor socioeconomic class patients. Conclusion: Eclampsia is a common pregnancyassociated disorder in this part of the country especially in primigravida and teenagers. The disorder iscommon in low socioeconomic class. The most important aspect of its management is prevention byproper antenatal check-up, availability of health facilities and prompt referral to tertiary care hospital.Keywords: Eclampsia, Pregnancy, primigravida, seasonal variation
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