Eclampsia At the University of Port Harcourt Teaching Hospital Port Harcourt, Nigeria.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 1
Abstract
Backround: Eclampsia remains a significant cause of maternal and peri-natal morbidity and mortality worldwide, particularly in resource poor countries, Nigeria inclusive. It is to a great extent, a preventable obstetric complication and measures required for its prevention, to minimize adverse maternal and peri-natal outcome, are well known and inexpensive. Objectives: To determine the socio-demographic profile, incidence and feto-maternal outcome of eclampsia at the University Of Port Harcourt Teaching Hospital. Method: This was a prospective study of all pregnant women who presented with eclampsia to the University of Port Harcourt Teaching Hospital from April 1, 2010 to March 31, 2011. The data was collected on excel spreadsheet and analyzed using SPSS statistical package version 16.0. Results: During the period under review, there were 61 cases of eclampsia out of 2792 deliveries, giving an incidence of 2.2%. Majority (77%) of cases occurred in the antepartum period before the onset of labour and more common in unbooked patients. The incidence of eclampsia in booked mothers of 2 per 1000 deliveries was significantly lower than that for unbooked mothers with 140 per 1000 deliveries (p value <0.05). Headache (80%) was the most frequent prodromal symptom and caesarean section was the mode of delivery in about two third of cases. There was one maternal death, giving a case fatality rate of 1.6%. Birth asphyxia was recorded in 39.3% and low birth weight in 26.2%. The stillbirth rate was 23%. Conclusion: Eclampsia was commoner in unbooked patients and mostly during the antenatal period. The commonest mode of delivery was by caesarean section. Antenatal care and early identification of patients with preeclampsia, together with appropriate management of these cases will reduce the incidence of eclampsia in our environment.
Authors and Affiliations
Victory Oputa, Ngozi Orazulike, Justina Alegbeleye, Henry Ugboma
Keywords
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- EP ID EP590700
- DOI 10.9790/0853-1601097781.
- Views 33
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