Fetomaternal outcome in preeclampsia in a tertiary care hospital

Abstract: Preeclampsia contributes significantly to maternal & perinatal morbidity and mortality. Objective: To study maternal & fetal outcome in preeclampsia. Method: Case records of 168 women with preeclampsia, out of which 58 had severe preeclampsia were analysed. This retrospective observational study was conducted at B.J. government medical college, Pune, during period of 1st March 2020 to 30th June 2020. Result: Incidence of PE was 6.43.  Among study group 70% were primigravida & nearly 70% were >37 weeks of gestation. 15 (8.9%) patients developed eclampsia, 6(3.5%) developed abruptio placentae, 5(2.9%) had HELLP syndrome. PPH was noted in 22% cases. Prematurity, LBW & stillbirth was noted in 54(32%), 59(35%) and 7(4%) cases respectively. 54% Cases delivered by caesarean section. The adverse maternal outcome includes PPH, eclampsia, abruptio placenta, while for fetus prematurity and LBW which increased fetomaternal morbidity in patients of preeclampsia. Conclusion:     Although it is not possible to prevent PE & its morbidity, antenatal screening for early detection & timely intervention will help to improve pregnancy outcome.