30.The Frequency of Pre-Eclampsia and Eclampsia in Un-booked Pregnant Patients Presenting in a Tertiary Care Unit
Umme-Farwa, Farah Deeba Nasrullah, Ana Mehreen, Saima Shaikh and Pushpa Bai
ABSTRACT
Objective: To determine the frequency of pre-eclampsia and eclampsia in un-booked pregnant females aged 18-40 yrs. presenting to a gynecology unit III CHK.
Study Design: Descriptive, cross sectional.
Place and Duration of Study: This study was conducted at the Department of Gynecology and Obstetrics until III CHK Karachi from May, 2018 to November, 2018 for a period of six months.
Materials and Methods: A total of 245 un-booked primigravida and multigravidas between 18 - 40 years of age were included in the study. Patients with complications due to any other diagnosed medical disorders i-e chronic hypertension, diabetes, thyroid disorders, known renal disease were excluded. In study population complete blood count, liver function tests, renal function tests, coagulation profile and 24 hours urine for protein was performed. All patients were managed according to the existing protocol in the department. Pre-eclampsia was diagnosed by blood pressure monitoring and proteinuria by using urine dipstick, urine detailed report or 24 hours urinary protein.
Results: the study included women between 18 to 40 years with mean age of 29.61 ± 4.48 years. Majority of the patients 127 (51.84%) belonged to later age group (31 to 40 years). The mean gestational age of women was 26 ± 4.59 weeks. Mean gravidity was 3.31 ± 0.80. Mean parity was 2.22 ± 0.78. Mean BMI was 29.06 ± 2.56 kg/m2. Frequency of pre-eclampsia and eclampsia in un-booked pregnant females was found in 29 (11.84%) and 19 (7.76%) women respectively.
Conclusion: This study concluded that frequency of pre-eclampsia and eclampsia in un-booked pregnant females is significantly high.
Key Words: preeclampsia, eclampsia, un-booked, high risk pregnancy, medical disorders.
Citation of article: Umme-Farwa, Nasrullah FD, Mehreen A, Shaikh S, Bai P. The Frequency of Pre-Eclampsia and Eclampsia in Un-booked Pregnant Patients presenting in a Tertiary Care Unit. Med Forum 2022;33(2):133-137.