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Maternal and perinatal outcomes among eclamptic patients admitted to al-thawra hospital, sana'a city, yemen

Author: 
Intisar Ali Mohammed, Rokaia Mansor Alahdal and Nabil Ahmed Al-Rabeei
Subject Area: 
Health Sciences
Abstract: 

Introduction: Eclampsia is a potentially fatal disorder of pregnancy with a significant maternal and fetal morbidity and mortality rate. Objective: To investigate the incidence of eclampsia and its maternal and perinatal outcome of eclamptic patients admitted to Al-Thawra Modern General Hospital. Methods: A descriptive, cross-sectional study was carried out from April 2015 to March 2016. Data were collected as a face to face interview with eclamptic patients or their relatives. The questionnaire was used to collect data regarding present and past medical history. Data were analyzed using SPSS. Results: Out of 11923 deliveries, 62 women were suffered from eclampsia representing an incidence rate of 5.2 cases per 1000 deliveries. Eclampsia was more common among primigravida (61.3%) especially among age group twenties (59.6%). More than two third of patients came in the antepartum period (64.5 %) with estimated gestational age of more than 37 weeks. Thirty-five of eclamptic women (56.5%) delivered by cesarean section, while seventeen patients (27.4%) delivered vaginally. Most of the eclamptic patients (87.1%) were illiterate or with a primary school education and had either low antenatal care visits or have not received any at all. There was5 maternal death, given a case maternal fatality of 8% with a maternal mortality rate from eclampsia of 42/100 000. About thirty-one percent had at least one serious complication. Of 21 perinatal death, given perinatal mortality rate 33.9%, of which 12 (19.4%) were early neonatal death and 9 (14.5%) were stillbirth. The leading causes of early neonatal death were prematurity and birth asphyxia. Conclusion: The frequency of eclampsia and it is associated morbidity is still high due to bad maternity health services and lower coverage of antenatal care.

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