Does cervical favourability and mode of delivery affect the maternal and perinatal outcome in eclampsia?: a cohort study

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dc.contributor.authorZulfeen, Mominaen_US
dc.contributor.authorTatapudi, Radhaen_US
dc.contributor.authorSowjanya, Ravellaen_US
dc.date.accessioned2020-10-16T07:58:04Z
dc.date.available2020-10-16T07:58:04Z
dc.date.issued2019-08
dc.description.abstractBackground: To study the association between cervical favorability at admission and maternal, perinatal outcome. To study the association between mode of delivery and maternal, perinatal outcome in eclampsia.Methods: This was a retrospective cohort study carried out in a tertiary hospital. All women (92) admitted with antepartum eclampsia from April 2015 to April 2016, with >32 weeks gestation, reassuring foetal heart and no other complications were included in the study. They were divided into two cohorts delivery, maternal and perinatal outcomes were compared between the two groups.Results: Group with favourable cervix achieved higher vaginal deliveries. Perinatal mortality and morbidity were significantly higher in patients with unfavourable cervix (mortality 39.6% and 20.5% respectively, p: 0.046: morbidity 25.6% and 7.8% respectively, p: 0.033), more so in vaginal delivery (RR 2.355). However there was no significant difference in maternal morbidity. Higher induction-to-delivery interval was the major contributory factor.Conclusions: Perinatal outcome was worse in patients with unfavourable cervix at induction. This can be attributed to increased induction to delivery time and vaginal route of delivery. Prolonged induction should be avoided in eclampsia.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Kasturba Medical College, Manipal, Karnataka, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, GITAM University, Vizag, Vishakapatnam, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Siddhartha Medical College, Vijayawada, Andhra Pradesh, Indiaen_US
dc.identifier.citationZulfeen Momina, Tatapudi Radha, Sowjanya Ravella. Does cervical favourability and mode of delivery affect the maternal and perinatal outcome in eclampsia?: a cohort study. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2019 Aug; 8(8): 3168-3173en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/206933
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber8en_US
dc.relation.volume8en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-1770.ijrcog20193530en_US
dc.subjectEclampsiaen_US
dc.subjectPre-eclampsiaen_US
dc.subjectPerinatal outcomeen_US
dc.subjectHypertensionen_US
dc.subjectMode of deliveryen_US
dc.titleDoes cervical favourability and mode of delivery affect the maternal and perinatal outcome in eclampsia?: a cohort studyen_US
dc.typeJournal Articleen_US
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