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Page 28

Notes:

Joint Event

November 29-30, 2019 | Frankfurt, Germany

28

th

International Conference on

3

rd

International Conference on

Diabetes and Endocrinology

Diabetes and Metabolism

&

2

0

1

9

CONGRESS

DIABETES

2019

DIABETES

Journal of Diabetology | Volume 3

Clinical study on risk factors and fetomaternal outcome of severe pre-eclampsia in

Bangabandhu Sheikh Mujib Medical University

Aklima Sultana

Chattogram Maa O Shishu Hospital Medical College, Bangladesh

Background:

Pre-eclampsia (PE) is a leading cause of

morbidity and mortality among mothers and infants. The aim

of this study was to determine the maternal risk factors and

fetomaternal outcome of severe pre-elampsia.

Methods:

A total of 100 patients were recruited. Patients with

singletonpregnancybetween28 to40weeks of gestationwith

severe pre-eclampsia were selected as cases. A questionnaire

including patient’s age, gestational age, parity, family history

of hypertension, weight and body mass index (BMI), was

completed for each patient. Maternal complications before

or after delivery, and perinatal outcome were also recorded.

And finally data analysis was done.

Results:

Among cases and controls, age>34 years, BMI, history

of preeclampsia, were found significant (p<0.05) between the

two groups. In case group, 2 patients developed eclampsia,

3 abruptio placenta, 2 HELLP syndrome, 4 ascites, and 1

oliguria; 7 patients developed PPH and 3 pulmonary edema.

In the control group, 5 developed PPH and 1pulmonary

edema. In case group, 5 babies had very low birth weight

(<1.5 kg) and 21 had low birth weight (<2.5 kg). In control

group only 8.0% had low birth weight. 56.0% had APGAR

score 4-6 at one minute in case group and 24.0% in control

group. In case group 17 babies developed birth asphyxia

and 15 babies developed prematurity, where as in control

group 7 babies developed birth asphyxia and 3 developed

prematurity. 32 newborns needed admission in NICU in

cases and 10 in controls (p<0.05). 35 babies could be taken

home safely in case group as compared to all babies in control

group. Early neonatal death was found in 5 and still birth in 10

in case group; none found in control group (p< 0.05).

Conclusion:

Maternal and fetal outcome are worse in sever

preeclampsia.

Speaker Biography

Aklima Sultana has completed her Fellowship in Gynaecology and

Obstetrics at the age of 33 She is trained in basic and advanced laparoscopy

both from nation and abroad. She also has basic training on colposcopy.

Currently is an assistant professor of Obstetrics and Gynaecology at

Chattogram Maa O Shishu Hospital Medical College where she teaches

medical students and manages over 350 patients per week.

e:

draklimasultana@gmail.com