ABSTRACT

Introduction: Hypertensive disorders of pregnancy specifically eclampsia contributes greatly to maternal mortality as well as morbidity in developing nations like India. It is observed that of all pregnancies, 5-10% are complicated by hypertensive disorders. Maternal mortality due to hypertensive disorders of pregnancy in developing country is shockingly high, almost 50 per 10,000 deliveries, whereas it is only 1.6 per 10,000 deliveries in developed nations. Naturally in a developing country like India, to decrease MMR, decreasing PIH and a timely intervention is much needed. PIH is further categorised into, pre-eclampsia, eclampsia, pre-eclampsia superimposed on chronic hypertension.

Materials and methods: Our study is a hospital based retrospective study on maternal deaths due to PIH.

Results: In this study we found that MMR for the study period was much higher than the national average. 22% deaths were due to PIH. Most of them had history of ominous signs and symptoms which were neglected. Deaths were mostly found in unbooked, illiterate, aged less than 25 years, primigravid, referred in cases. Most deaths occurred within 48 hours of hospital admission and most common cause of death being pulmonary oedema.

Conclusion: Maternal mortality is a serious issue and strong actions to be taken in order to decrease it. This study analysis will help us to detect pre-existing conditions leading to death due to pre-eclampsia and eclampsia and give us an insight on how to decrease the death toll.

Keywords: PIH, Pre-eclampsia, Eclampsia, MMR.

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