Neonatal Outcomes in Eclamptic Mothers a Retrospective Cohort Study

Abstract

Background: Eclampsia is a major and catastrophic complication of any pregnancy, which starts with seizures in preeclamptic women marked by hypertension often associated with proteinuria.
Objective: This study aims to provide a comprehensive analysis of the perinatal complications and neonatal morbidity associated with eclampsia.
Study Design: This is a retrospective cohort study.
Duration and Place of the Study: This Study was conducted at Gynaeology/obstetrics and Paediatrics department at Saidu Group Of Teaching Hospitals  from 1st July 2022 to 30th june 2023. 
Material and Methods: Complete Data collection after delivery of eclamptic mothers. Eclampsia was diagnosed after a woman with preeclampsia presented with new-onset generalized tonic-clonic seizures. Mothers included in the study had to deliver neonates (≥24 weeks of gestation and above) from eclamptic pregnancies. Exclusion criteria were women with pre-existing seizure disorders or neurological conditions that did not meet the definition for eclampsia.
Results: The study included 75 eclamptic mothers, with a mean maternal age of 29.4 ± 5.8 years. Of these, 58.7% (n=44) were primiparous and 41.3% (n=31) multiparous. Practice Mean GA at Delivery (Weeks) 36.1 SD ± 3.2. Regarding the mode of delivery 26.6% (n=20) of the mothers delivered vaginally, while 73.3% (n=55) were by a cesarean method. Of the cases 33.3% (n=25) experienced antepartum complications and intrapartum complications were present in 20.0% (n=15) of the deliveries.
Conclusion: This is a unique case which underlines grievous neonatal complications of eclampsia which instills the requirement for regular antenatal care and timely intervention.