+1 (629)348-3199Clinical study on risk factors and fetomaternal outcome of severe pre-eclampsia in Bangabandhu Sheikh Mujib Medical University
3rd International Conference on Diabetes and Metabolism
November 29-30, 2019 | Frankfurt, Germany
Aklima Sultana
Chattogram Maa O Shishu Hospital Medical College, Bangladesh
Scientific Tracks Abstracts : J Diabetol
Abstract:
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
singleton pregnancy between 28 to 40 weeks of gestation with
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.
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-mail: draklimasultana@gmail.com
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