Epidemiology of Eclampsia in Bangladesh

  • Fatema Begum Associate Professor (CC) and HOD, Department of Obstetrics and Gynaecology, KhwajaYunusAli Medical College and Hospital. Enayetpur, Sirajganj, Bangladesh
  • Arshad Jahan Assistant Professor, Department of Obstetrics and Gynaecology, Gonoshasthaya SamajVittik Medical College, Dhaka, Bangladesh
  • Sheuly Akter Assistant Professor, Department of Obstetrics and Gynaecology, Khwaja Yunus Ali Medical College and Hospital, Enayetpur , Sirajgonj, Bangladesh
  • Farhana Dewan Professor and Ex-Head of Department of Obstetrics and Gynaecology, Shaheed Suhrawardy Medical College and Hospital, Dhaka, Bangladesh
  • Sinthia Tabassum Intern Doctor, Khwaja Yunus Ali Medical College and Hospital, Enayetpur, Sirajganj, Bangladesh
Keywords: Eclampsia, Incidence, Fetomaternal Outcome

Abstract

Background: The purpose of these study was to find out the risk of eclampsia in relation to several demographic and anthropometric factor and to find out a way to prevent eclampsia.

Objective: To find out the epidemiology of eclampsia and to reduce maternal and neonatal mortality and morbidity due to eclampsia.

Materials and Methods: A cross sectional descriptive study was conducted to assess the fetomaternal outcome of eclampsia. The study was carried out at the Eclampsia unit, Dhaka Medical College Hospital, Dhaka over a period of six months from 1st July 2008 to 31st December 2008. A total of 48 patients with diagnosis of antepartum and intrapartum eclampsia were consecutively taken in the study. The test statistics used to analyse the data were descriptive statistics.

Results: About 39.6% of the patients was under the age of 20 years, 43. 7% patient was between the age of 20-25 years. By occupation 77.1% patient was housewife, 17.9% patient was Garments worker and 4.1% patient was day labour. By level of education about 56.3% patient was illiterate, 29.2% patient was of primary level. About 57% of patients remained unconscious. About 7% of patients developed acute renal failure,16.7% CVA,14.6% HELLP syndrome and 39.6% pulmonary oedema. The mean hospital stay was 9.5 ± 3.3 days. Majority (93.8%) of the patients recovered while 6.3% died.

Conclusion: Eclampsia is still a major cause of maternal mortality and morbidity in Bangladesh. A qualitative and quantitative improvement in prenatal consultation should make it possible to reduce incidence of eclampsia in our community. Monitoring of high-risk patients may reduce the complication rate.

KYAMC Journal Vol. 11, No.-4, January 2021, Page 189-192

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Abstract
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Published
2021-02-11
How to Cite
Begum, F., Jahan, A., Akter, S., Dewan, F., & Tabassum, S. (2021). Epidemiology of Eclampsia in Bangladesh. KYAMC Journal, 11(4), 189-192. https://doi.org/10.3329/kyamcj.v11i4.51995
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Original Articles