Modes and timing of delivery along with maternal and neonatal conditions for preeclamptic patients of Rajshahi, Bangladesh

Abstract

Background: We studied the gynaecological, obstetrical and family history, complications arisen, timing and mode of delivery, and post-delivery maternal and neonatal health conditions for preeclamptic patients in Rajshahi, Bangladesh.  Methods:  Using a cross-sectional longitudinal design, 90 women hospitalized with preeclampsia in 7 hospitals of Rajshahi, Bangladesh were considered, of which two-thirds were from tertiary referral Rajshahi medical college hospital. The data were collected by interviewing the patients, physical examinations and analyzing patients’ pathological profile. For statistical analyses, SPSS software was employed.     Results:  The 58% of the preeclamptic patients became pregnant earlier, of which 56% had NVD, 24 % C/S and 20% abortion. The 85% patients had history of chronic constipation, ashma, blood transfusion, UTI, hypertension, liver disease, diabetes and preeclampsia. Regarding past surgical history, 40% had Appendisectomy, DE and C, MR, left Salphingo-oophorectomy and CS. Their gestational age ranged 40-32 weeks, averaging 37 weeks. About three-fourths of the patients’ deliveries were made by CS. Generally, patients’ BP fell down after delivery. One patient out of 88 had died after giving birth, but her female infant (weighing 2.0 kg) was in good condition. Only one case of twin-pregnancy was recorded. After giving births, 28% of mother had no complications, whereas 56% had mild complications and 16% had severe complications. Male children dominated (60%) over female children (40%). A total of 9 (10%) neonatal deaths were recorded. Among alive infants, 42% were premature. About 28% of the newborn infants had no complications, while 16% had mild complications and 56% had severe complications including asphyxia, IUGR, etc.       Conclusions: After delivery (CS was 75%), mothers’ health was good, but the infants’ health deteriorated. Consequently, 1% maternal death and 10% neonatal deaths were recorded.