Fetomaternal Outcomes of Eclamptic Patients Admitted to Comilla Medical College Hospital

Background: Eclampsia remains a major cause of maternal and perinatal morbidity and mortality worldwide. Despite declining incidence in developed countries due to improved antenatal care (ANC) and obstetric management, it continues to pose a significant public health challenge in developing countries like Bangladesh because of inadequate ANC, poor socioeconomic conditions, and limited access to healthcare services. Objectives: This study aimed to evaluate the maternal and fetal outcomes of eclamptic patients and to analyze their clinical profile and etiological background. Methods: This hospital-based cross-sectional study was conducted in the Department of Obstetrics and Gynaecology at Comilla Medical College Hospital (CoMCH) from January to December 2012. A total of 140 patients diagnosed with eclampsia were included. Sociodemographic characteristics, ANC status, clinical presentation, and maternal and perinatal outcomes were analyzed. Results: Most patients were aged 21–25 years (42.85%), housewives (>73%), primigravida (67%), and from low socioeconomic backgrounds (41.43%); only 17% received regular antenatal care. Antepartum eclampsia was the commonest presentation (61%), followed by intrapartum (27%) and postpartum eclampsia (10%). At admission, >65% had systolic blood pressure ≥160 mmHg and 70% had diastolic blood pressure ≥110 mmHg; moderate proteinuria was present in 38%. Six maternal deaths occurred. Among 142 neonates, 127 (89%) were live births, with 25 (17.6%) neonatal deaths and 15 (11%) stillbirths. Conclusion: Eclampsia remains a significant contributor to maternal and perinatal morbidity and mortality in Bangladesh. Early initiation of anticonvulsant therapy and timely delivery are critical to improving fetomaternal outcomes. J Com Med Col Teachers’ Asso July 2026; 30(2): 82-87