Maternal and Neonatal outcome in Pre-eclamptic patients and the Development of Fact Sheet

Abstract

Pre-eclampsia (PE) is a major complication of pregnancy. It is pregnancy-specific condition, represents a major cause of morbidity and mortality in mother, fetus and infant in many parts of the world. The aim of the present study was, to find out the risk factors associated with preeclampsia and evaluate the maternal and neonatal outcomes of pregnancy and develop a fact sheet for patients. The study was conducted in the labor ward of Obstetrics Department at Tanta University Hospitaland and El-menshawy Hospital from October 2016 to April 2017. A total of 200 parturient women (100 with pre-eclampsia and 100 control without the disease), using the statistical equation, the sample was recruited for this study according to the inclusion and exclusion criteria. The tools used for data collection consisted of; A Structured interviewing questionnaire, maternal assessment sheet “on admission to labor room” Partograph, summary of labor sheet and neonatal assessment record. A pilot study was conducted on 20 parturient women to assess the applicability of the data collection tools and the feasibility of the study. The results revealed that women with preeclampsia were significantly younger and older than normotensive women, had low mean parity, and history of PE. The majority of the preeclamptic group had severe preeclampsia (p=0.001^**). More poor pregnancy outcome was noticed among women with preeclampsia compared to those in the control group. Recommendation; increasing women awareness, early diagnosis of preeclampsia, early referral, adopting recent modalities of diagnoses and management in appropriate setting and with adequate resources may lead to better pregnancy outcome