Abstract

Dr. Zarna Pegu* and Dr. Ratna Kanta Talukdar

ABSTRACT

The aim of the current study was to determine the various risk factors that are associated with development of eclampsia other than those included in the previous studies.It was a prospective, randomized study. Study population consisted of 50 eclampsia patients. Parity, maternal age, premonitory symptoms, duration of pregnancy, oedema, proteinuria and systolic and diastolic BP at the time of admission were the several factors included, that predict which preeclamptic women will eventually develop eclampsia. Fisher’s exact test was applied for the study. Result: Risk of eclampsia was greater in nulliparous compared to parous women. Systolic BP?160mmHg was seen to be associated more with the risk of eclampsia as compared to systolic BP<160mmHg in our study population. But in case of Diastolic BP <110mmHg was associated more with the risk of eclampsia, as compared to the Diastolic BP ?110mmHg. Minimum gestation at which eclampsia occured in our study was 28weeks and maximum was 42weeks gestation. Our study shows, 70% of the patients had premonitory symptoms before the onset of the convulsions and oedema was present in only 30% of the cases.Only 26% of the patients had albuminuria and in 74% cases, result was not known on admission. Conclusion: Various risk factors including maternal age (<20years), nulliparity, premonitory symptoms, increased duration of pregnancy, systolic BP?160mmHg and even Diastolic BP<110mmHg were associated with more risk of eclampsia in our study population. But oedema had less association with the risk of eclampsia.