Presentation and outcome of eclampsia at a tertiary center in South East Nigeria--a 6-year review.

Authors:
Dr Ahizechukwu C Eke, MD, MPH, FWACS
Dr Ahizechukwu C Eke, MD, MPH, FWACS
Division of Maternal Fetal Medicine & Clinical Pharmacology, Johns Hopkins University School of Medicine, 600 N Wolfe Street
Maternal Fetal Medicine
Baltimore, Maryland | United States

Hypertens Pregnancy 2011 21;30(2):125-32. Epub 2010 Dec 21.

Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria.

Objective: To determine the maternal and fetal outcomes of eclamptic patients treated in Nnamdi Azikiwe University Teaching Hospital, Nnewi, over a 6-year period (2004-2009).

Materials And Methods: It was a retrospective study. The case notes of 212 patients with eclampsia were analyzed with respect to age, parity, type of eclampsia, gestational age, booking status, mode of delivery, and outcome of the babies and mothers.

Results: There were 212 cases of eclampsia out of a total of 13,536 deliveries, giving a prevalence of 1.57%. One hundred and sixty (24.5%) of the women were unbooked. Antepartum eclampsia constituted 160 (75.5%) of all types of eclampsia. Nulliparous teenagers were the most commonly affected women--128 (60.4%). Cesarean delivery was higher than vaginal delivery, accounting for 160 (75.5%) of all deliveries. There was a statistically significant relationship between the route of delivery and the parity of the women (χ(2) = 3.60; d = 5; p = 0.035). There were 16 maternal deaths, giving a case fatality rate of 7.5%. There were 12 neonatal and 8 perinatal deaths. Puerperal sepsis occurred in 9.4% of the patients.

Conclusion: Eclampsia is a major cause of maternal mortality in Nnewi, rural South East Nigeria. Teenage nulliparous women are most susceptible.

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Source
http://dx.doi.org/10.3109/10641955.2010.525283DOI Listing
August 2011
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References

(Supplied by CrossRef)

Suzanne CM et al.
Acta Obstet Gynecol Scand 2004

Mohammed N et al.
J Obstet Gynaecol Res 2005

Chhabra S et al.
Int J Gynecol Obstet 2007

Sibai BM et al.
Am J Obstet Gynaecol 1990

Melah GS et al.
Int J Gynaecol Obstet 2006

Odum MCU et al.
J Obstet Gynaecol East Cent Africa 1991

Adetoro OO et al.
Int J Gynaecol Obstet 1990

Olatunji AO et al.
Niger J Clin Pract 2007

Itam HI et al.
Trop J Obstet Gynaecol 2001

Sanusi YO et al.
J Obstet Gynaecol 1999

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