دورية أكاديمية
Ecalmpsia: maternal and fetal outcome.
| العنوان: | Ecalmpsia: maternal and fetal outcome. |
|---|---|
| المؤلفون: | Jido TA; Department of Obstetrics and Gynaecology, Bayero University/Aminu Kano Teaching Hospital, Kano, Kano State, Nigeria. Tukur.jido@nhs.net |
| المصدر: | African health sciences [Afr Health Sci] 2012 Jun; Vol. 12 (2), pp. 148-52. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Faculty of Medicine, Makerere University Country of Publication: Uganda NLM ID: 101149451 Publication Model: Print Cited Medium: Internet ISSN: 1729-0503 (Electronic) Linking ISSN: 16806905 NLM ISO Abbreviation: Afr Health Sci Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Kampala, Uganda : Faculty of Medicine, Makerere University, [2001- |
| مواضيع طبية MeSH: | Eclampsia/*epidemiology , Pregnancy Outcome/*epidemiology , Seizures/*etiology , Stillbirth/*epidemiology, Adolescent ; Adult ; Anticonvulsants/adverse effects ; Anticonvulsants/therapeutic use ; Confidence Intervals ; Diazepam/adverse effects ; Diazepam/therapeutic use ; Eclampsia/diagnosis ; Eclampsia/drug therapy ; Female ; Hospitals, Teaching ; Humans ; Incidence ; Infant, Newborn ; Magnesium Sulfate/adverse effects ; Magnesium Sulfate/therapeutic use ; Male ; Maternal Mortality ; Maternal Welfare ; Nigeria/epidemiology ; Odds Ratio ; Perinatal Mortality ; Pregnancy ; Pregnancy Trimester, Second ; Prenatal Care/statistics & numerical data ; Prospective Studies ; Risk Factors ; Seizures/drug therapy ; Seizures/epidemiology ; Young Adult |
| مستخلص: | Objective: To determine the incidence of eclampsia and examine the maternal and fetal outcome. Methods: A hundred and twenty consecutive admissions with eclampsia managed in Aminu Kano Teaching Hospital, Kano, Nigeria, were prospectively collated and analysed. Maternal and fetal morbidity and mortality were recorded. Results: The incidence of eclampsia was 1.2% of deliveries. Most (69.2%) of the patients had no antenatal care. In 93 (77.5%), the convulsions were controlled with diazepam, and 22.5% magnesium sulphate. Maternal complications rate was 39.2%, and use of Diazepam for control of convulsions increases complications (RR 3.12, 95% CI = 1.23-7.92, p= 0.02). Case fatality rate was 11.7%, diazepam use failed to achieve significant association with maternal death (RR 8.64, 95% CI = 0.53-140.29, p= 0.13). Stillbirth rate was 22.5% with significant association with diazepam use (RR 7.55, 95% CI= 1.07-3.09, p=0.04). Birth asphyxia was recorded in 39.1% and low birth weight in 25.8%. Conclusion: The incidence of eclampsia in our hospital was very high, with corresponding high maternal and perinatal morbidity and mortality. Increased antenatal screening and use of magnesium sulphate to control convulsions will reduce the incidence and associated morbidity and mortality for both mother and fetus. |
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| فهرسة مساهمة: | Keywords: Kano; Nigeria; eclampsia; outcome |
| المشرفين على المادة: | 0 (Anticonvulsants) 7487-88-9 (Magnesium Sulfate) Q3JTX2Q7TU (Diazepam) |
| تواريخ الأحداث: | Date Created: 20121012 Date Completed: 20130117 Latest Revision: 20231105 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC3462530 |
| DOI: | 10.4314/ahs.v12i2.11 |
| PMID: | 23056020 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1729-0503 |
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| DOI: | 10.4314/ahs.v12i2.11 |