Fetomaternal outcome in patients with eclampsia: study in a territory care hospital in Bangladesh

Abstract

Background: Eclampsia, a severe complication of preeclampsia, poses significant risks to both the mother and the fetus. Understanding the specific factors influencing these outcomes in the context of Bangladesh is crucial for improving maternal and neonatal healthcare in the region. Methods: A retrospective cohort study was conducted at department of gynaecology and obstetrics, Jashore Medical College Hospital, Jashore, Bangladesh reviewing medical records of 155 patients diagnosed with eclampsia over a January 2020 to December 2020. Data on maternal age, gestational age, clinical presentation, management strategies, and fetal outcomes were collected and analyzed. Results: Preliminary findings suggest that maternal age, gestational age at onset, and timely interventions play crucial roles in determining the fetomaternal outcomes in eclampsia cases. Maternal mortality rates, neonatal morbidity, and mortality rates were assessed in relation to these factors. Additionally, the study investigates the impact of various management approaches, including antihypertensive medications, and magnesium sulfate therapy on these outcomes. Conclusions: Eclampsia continues to pose significant risks to both mothers and infants in Bangladesh. Inadequate antenatal care appears to contribute to the severity of cases. The high rate of emergency cesarean sections underscores the need for vigilant monitoring of high-risk pregnancies. Efforts to improve antenatal care utilization and implement timely interventions are crucial to mitigate the adverse fetomaternal outcomes associated with eclampsia in this setting. Further prospective studies are warranted to explore preventive strategies and optimize management protocols for better outcomes.