Eclampsia And Its Fatality Associations In Nnamdi Azikiwe University Teaching Hospital, Nnewi
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 5
Abstract
Background: Eclampsia is one of the most feared obstetric emergencies and a major contributor of maternal and fetal death from hypertensive disorders. Some suffered it and died while some live to tell their stories; what determines who dies? Objective: 1). To determine the pattern of eclampsia in NAUTH. 2). To demonstrate the maternal and fetal associations Methodology: The case notes of eclamptic patients that presented at NAUTH between 2010 and 2014 were retrieved, studied and analyzed. Result: During the period of study, a total of 54 maternal deaths occurred and 8 of these were due to eclampsia, contributing 15.3% to maternal mortality. There were a total of 52 cases of eclampsia and 4,146 deliveries (incidence of 1.25 %). Out of these 52 cases only 45 case notes were found for analysis and there were total of 8 maternal deaths (case fatality rate of 17.7%). Eleven cases (nine singletons plus a set of twins) of fetal death were recorded (fetal fatality rate of 22.2%). Most of this eclampsia occurred antepartum 32 (71.1%) with age range of 30-34, 19 (42.2%) and were mostly primigravidae 22 (48.9%). Majority of patients had loss of consciousness 25 (55.6%) and blood pressure at severe range 34 (75.5%) at presentation. Most of these patients had c/s 30 (66.7%), preterm delivery 19 (42.2%) and low birth weight 30(66.7%). The association of maternal death were fetal death (p-value 0.000) and multiparity (P-value 0.044), while the associations of fetal death were maternal death (P-value 0.000), unconsciousness (P-value 0.044), and multiple episodes of seizure (Pvalue 0.030). Conclusion: Case fatality rate of eclampsia was high and fatality was associated with multiparity, multiple seizures, unconsciousness, and fetal or maternal death.
Authors and Affiliations
Egeonu RO, Obiechina NJA, Okolie VE
Keywords
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- DOI 10.9790/0853-160507112116.
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