NEONATAL OUTCOME IN PRE-ECLAMPTIC PATIENTS
AbstractBackground: Pre-eclampsia (PE) is defined as hypertension (blood pressure of 140/90 mm Hg ontwo occasion 4–6 hour apart or single reading of diastolic blood pressure of >110 mm Hg) andproteinuria developing after 20 weeks of pregnancy up to 6 weeks post partum in previouslynormotensive, non-proteinuric women. The aim of this study was to determine the neonatal outcomein babies born of pre-eclamptic patients. Methods: It is a cross-sectional comparative study and wascarried out in department of Obstetrics and Gynaecology unit C of Ayub Teaching Hospital,Abbottabad from 1st January 2007 to 30th June 2007. The study population included all casespresenting with pre-eclampsia after 20 weeks gestation to emergency and OPD and controls (Normalsubject without pre-eclampsia). Results: A total of 73 cases of pre-eclampsia were recorded in studyperiod and were matched for age, gestational age and parity with controls. Neonatal outcome datashowed a perinatal mortality of 328 neonates per 1000 total births, major cause being still births andintrauterine death (IUD). Decreased APGAR score was present in 31 cases and 3 controls.Conclusion: Pre-eclampsia has great implication on adverse neonatal outcome. The variouscomplications seen are low APGAR score, IUD, low birth weight, intrauterine growth restriction andincreased need for admission to Neonatal Intensive Care Unit (NICU).Keywords: Pre-eclampsia, Perinatal mortality, Eclampsia, IUGR, Still Birth, NICU, APGAR score
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