European Journal of Molecular & Clinical Medicine

Abstract

Background: The aim of this study to assess the Pregnancy outcome in Preeclampsia in terms of magnitude of edema and proteinuria.
Materials and methods: A Prospective study to assess the Magnitude of edema and Proteinuria and its impact on pregnancy outcome in Preeclampsia was conducted at Department of Obstetrics and Gynecology at Chigateri Government Hospital, Davanagere from January 2013 to June 2013. A 100 pregnant women with Preclampsia more than 20 weeks of gestation to 40 weeks of gestation were selected. Pregnant women with Chronic Hypertension, Diabetes Mellitus, Renal disease, Heart disease, Babies with Congenital malformations were excluded from the study. Qualitative estimation of Proteinuria and edema was done for all patients.
Results: A total of 100 cases were selected for the study. The maternal complications were found in 56% and perinatal complications in 57% of the Preeclamptic women. As the level of Proteinuria and magnitude of edema increases, there is higher incidence of maternal and perinatal complications which was statistically significant. The maternal complications include Abruption, Eclampsia, Anemia, Postpartum haemorrhage, HELLP Syndrome, Ascites, Instrumental deliveries and more chances of Caesarean section. The perinatal complications include Intrauterine fetal death, Intrauterine growth restriction, Still birth, Prematurity, Low Apgar score and Neonatal mortality.
Conclusion: In women with Pre-eclampsia, as the magnitude of proteinuria and edema increases, the maternal and perinatal complications also increase. Regular antenatal care for all the pregnancies. Early detection and treatment of pre- eclapmsia to prevent progression to more severity of the disease reduces the maternal and the perinatal morbidity and mortality.