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Effect of severe and non severe preeclampsia on perinatal outcome– A comparative study

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Original Article

Author Details : Pooja Singh*, Manjari Gupta

Volume : 7, Issue : 3, Year : 2020

Article Page : 335-338

https://doi.org/10.18231/j.ijogr.2020.072

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Abstract

Introduction: Fetal complications in preeclampsia include increased rates of preterm delivery, intrauterine
growth restriction, placental abruption, and perinatal death. The aim of this study is to assess the effect of
severe and non severe preeclampsia on perinatal outcome.
Materials and Methods: A total of 200 pregnant women attending the antenatal clinic of Heritage Institute
of Medical Sciences, Varanasi from august 2018 to august 2019 were included in the study. Patients
were categorized into 4 groups of normotensive, mild preeclampsia. Severe preeclampsia and eclampsia
respectively. Each group contained 50 patients. All the women included in the study were followed
throughout the pregnancy and the perinatal outcome was recorded as following variables. a) mode of
delivery; b)intrauterine death; c) IUGR; d)admission to NICU.
Results: Out of the 200 patients included in the study, incidence of fetal distress was higher in
severe preeclampsia group (20%) and eclampsia (34%) as compared to non severe or mild preeclampsia
group.(4%).c2= 22.3; p=.000056. There was 72% & 77.1% incidence of low birth weight babies in
severe preeclampsia and eclampsia group respectively as compared to 30% in mild preeclampsia group.
This association was statistically significant. c2= 54.18; p value<.0001. Preterm vaginal deliveries were
maximum in the eclampsia group and thereafter in severe preeclampsia group (c2=29.3;p value<0> Poor Apgar score were recorded in eclampsia group. NICU admissions were maximum in eclampsia group
amounting to 56%.
Conclusion: Both non severe and severe forms of preeclampsia are associated with poor neonatal outcome.
Severe preeclampsia is more commonly associated with intrauterine fetal demise. Low birth weights,
preterm vaginal deliveries and operative deliveries.

Keywords: Preeclampsia, Eclampsia, Low birth weight, Still birth

How to cite : Singh P, Gupta M, Effect of severe and non severe preeclampsia on perinatal outcome– A comparative study. Indian J Obstet Gynecol Res 2020;7(3):335-338

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