Maternal and Neonatal Outcomes of Women with Preeclampsia and Eclampsia at a Tertiary Care Center

Aim: Preeclampsia is a multisystem disorder of unknown etiology\udand one of the leading causes of maternal, fetal and neonatal\udmortality and morbidity. Adverse outcomes can be improved by\udearly identification of the disease and timely referral to a tertiary\udcenter. The aims of this study were to evaluate the outcomes\udof preeclampsia-eclampsia cases and share our experiences in a\udtertiary center.\udMethods: The study conducted by retrospectively analyzing the\uddata of 350 women who gave birth between 2008 and 2013 at a\udtertiary care center.\udResults: The mean age of the enrolled women was 35 years,\udthe mean gestational age at delivery-36 weeks, the mean birth\udweight-2.73 kg, and the mean platelet count was 204.000/\udmm3. The incidence of preterm deliveries was 66.6%. Severe\udpreeclampsia was noted in 29.4% of cases. Neonatal intensive\udcare unit admissions were seen in 10.6% of cases. A total of\ud22.9% of these women had vaginal deliveries, while the other\ud77.1% underwent cesarean section. High systolic blood pressure\udand elevated serum alanine and aspartate aminotransferase values\udhad significant independent effects of differentiating between\udmild and severe preeclampsia.\udConclusion: Fetomaternal morbidity and mortality rates associated\udwith hypertensive disorders are alarming, especially in developing\udcountries. As such, the high-risk obstetric population should be\udscreened earlier in pregnancy. A system allowing early referral in\udthese cases should be created. (The Medical Bulletin of Haseki\ud2015; 53:143-6