Study on Foetal Outcome in Pre-eclamptic Mother

Pre-eclampsia or pregnancy induced hypertension (pih) re-named as gestational hypertension is one of the important causes of maternal death in developing countries like bangladesh. the foetal outcome is also very unsatisfactory and disappointing in pre-eclamptic mothers. considering this view, the objective of this study was to assess the foetal outcome in pre-eclamptic mothers and also to identify the factors influencing the outcome. this was a cross sectional study conducted among the pregnant mothers admitted into gynaecology and obstetrics department of shaheed suhrawardi hospital, dhaka, with specific signs and symptoms of pre-eclampsia during the period from january 2002 to december 2003. a total of 100 pre-eclamptic mothers were studied. bivariate analysis revealed that a statistically significant association was present between complicated preeclampsia (p<0.05) and previous positive medical history with abnormal foetal outcome (p<0.05), but no statistically significant association was found between foetal outcome and age, occupation of the mother and the husband, socioeconomic status, parity, hypertension, diabetes mellitus, previous surgical and bad obstetrical history, body built, maternal oedema (p>0.05). analysis also found that poor foetal outcome was significantly associated with haemoglobin level less than 10 gm%, gestational age and mode of delivery (p<0.01). analysis of relative risk indicated that the abnormal foetal outcome was 7.1 times higher in complicated pre-eclamptic mothers than only pre-eclamptic mothers (p<0.001, 95% ci=2.598-19.957).