Background: Preeclampsia is multi-systemic hypertensive pregnancy disorder accompanied
Objectives: To determine the frequency of different presentations of preeclampsia in tertiary care
hospital and find out its risk factors.
Materials and Methods: The present study was hospital-based cross-sectional study and conducted
from 1st August 2015 to 31st July 2016 in Gynaecology and Obstetrics Department, Liaquat
University of Medical and Health Sciences (LUMHS), Hyderabad after ethical approval. A total of
112 pre-eclamptic women were enrolled during the study period by non-probability consecutive
sampling. Patients were divided on the basis of their presentations into mild preeclampsia, severe
preeclampsia, antepartum eclampsia, intrapartum eclampsia, HELLP syndrome, postpartum
preeclampsia, postpartum eclampsia and atypical preeclampsia/eclampsia. All the sociodemographic
factors and clinical variables were noted. Frequency and percentage were calculated
for categorical variable and mean/standard deviation (SD) for continuous variables.
Results: Of the 112 preeclamptic women, 54.5% were admitted with antepartum eclampsia, 12.5%
with severe preeclampsia, 8.9% with atypical preeclampsia/eclampsia, 8% with mild preeclampsia,
8% with postpartum eclampsia, 3.6% with HELLP syndrome, 2.7% with intrapartum eclampsia
and 1.8% with postpartum preeclampsia. Overall, majority of the patients were primigravida (57%),
had gestational age >34 weeks at presentation (58.9%) and < 7 antenatal visits (88.3%) during their
pregnancy. Overall 17.8% had previous bad obstetrical events, 11.6% had previous history of
preeclampsia and 64.3% had consanguineous marriages.
Conclusion: Different presentations of preeclampsia may help obstetricians to rule out high- risk
pregnancies and provide antenatal care to patients earlier to prevent complications to both mother