Maternal and Perinatal Outcome of Eclampsia in a Tertiary Care Centre

Background: Eclampsia is a serious obstetric emergency and a leading cause of morbidity and mortality among mothers and new-borns, particularly in developing nations. In the Indian state of Bihar, where the healthcare system regularly falls short of meeting the demands of a dense rural population, the prevalence of eclampsia is disproportionately high. Objectives: The primary objective of this study was to evaluate the sociodemographic characteristics and clinical profile of women who presented with eclampsia. Secondary objectives included assessing perinatal outcomes and investigating the specific causes of maternal illness and mortality in order to identify flaws in the current healthcare delivery system. Methods: Over the course of a year, this prospective observational study was carried out at Sri Krishna medical college and hospital, Bihar. 100 women having an eclampsia diagnosis were included in the study. Analysis was done on clinical presentation, delivery method, and feto-maternal complications. Results: Young primigravidae had the highest incidence (64%), with an astounding 70% of referrals being unbooked. The most common presentation was antepartum eclampsia (68%). In 66% of instances, a cesarean section was necessary. Postpartum hemorrhage and Pulmonary edema were the two main maternal consequences. The rate of maternal death was 5%. With a high incidence of low birth weight (60%) and a perinatal mortality rate of 52%, perinatal outcomes were compromised. Conclusion: Mothers and new-borns are continuing to suffer greatly from eclampsia. To improve results, early diagnosis, sufficient prenatal care, prompt referral, and standardised management procedures are crucial. To stop eclampsia and its terrible effects, targeted community and primary healthcare initiatives are required.