Open AccessMaternal Mortality in Eclampsia after Cesarean Section versus Vaginal Delivery
Author(s) -
Ghazala Saeed,
Rabia Wajid,
Ayesha Yousaf Dar
Publication year - 2018
Publication title -
annals of king edward medical university
Language(s) - English
Resource type - Journals
eISSN - 2079-7192
pISSN - 2079-0694
DOI - 10.21649/akemu.v23i4.2188
Subject(s) - medicine , eclampsia , vaginal delivery , obstetrics , obstetrics and gynaecology , preeclampsia , maternal morbidity , maternal death , advanced maternal age , gynecology , pregnancy , population , fetus , genetics , environmental health , biology
Preeclampsia with generalized tonic-clonic convulsions is termed as eclampsia. Eclampsia isassociated with multiple maternal and fetal complications. Eclampsiais an obstetric emergency and quick decision making is required to save lives. The objective of the study was to compare the maternal mortalityafter cesarean section versus vaginal delivery among eclampsiapatients. It is a descriptive case series conducted in Department of Obstetrics and Gynecology, Lady Willingdon Hospital, from December 2014 to June 2015. In our study, 62.86 % (n=88) patients were between18-25 years of age and 37.14 % (n=52) werebetween 26-35 years of age. The mean+SD was calculated as 25.12+4.53 years. Frequency ofvaginal delivery in patients with eclampsia was 30.71 % (n=43) while69.29 % (n=97) were delivered through cesarean section. Comparisonof maternal mortality in two groups was recorded, where out of 43 spontaneous vaginal deliveries mortality was recorded in 6.98 % (n=3). Out of 97 cesarean deliveries, mortality was recorded in 17.53% (n=17). We concluded that mortality rates are higher in patients undergoing cesarean section.