Maternal and Perinatal Outcomes among Eclamptic Patients Admitted to Al-Thawra Hospital, Sana'a city, Yemen

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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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Dr.Geetanjali Joshi Mishra
Lucknow, UP, INDIA
Dr. Sankalp Verma
India
Tannu Arora
India
Prof Dr. Lee Mun Seng
Malaysia
Dr. Muhammad shoaib Ahmedani
Saudi Arabia
Dr. Lim Gee Nee
Malaysia
DANA MOHAMMED
UK
Ali Majnoony Tootakhaneh
Iran
Prof. Somchai Amornyotin
Thailand
Nurhodja Akbulaev
Turkey
Muhammad Hamid
Pakistan
MOHAMMAD GHOLAMI
Iran
MAVLYANOV ISKANDAR RAKHIMOVICH
Uzbekistan
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Jordan
Faraz Ahmed Farooqi
Saudi Arabia
Eric Randy Reyes Politud
Philippines
Eapen, Asha Sarah
USA
Dr. Ruchika Khanna
India
DR. MUHAMMAD ISMAIL MOHMAND
UK
DR. MAHESH SHIVAJI CHAVAN
India
Dr. Lokesh Gambhir
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DR. IRAM BOKHARI
Pakistan
Dr. FARHAT NAZ RAHMAN
Pakistan
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India
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Indonesia
Bensafi Abd-El-Hamid
Algeria
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India
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Turkey
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