دورية أكاديمية

Eclampsia in rural Nigeria: The unmitigating catastrophe.

التفاصيل البيبلوغرافية
العنوان: Eclampsia in rural Nigeria: The unmitigating catastrophe.
المؤلفون: Esike COU; Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria., Chukwuemeka UI; Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria., Anozie OB; Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria., Eze JN; Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria., Aluka OC; Department of Obstetrics and Gynaecology, Abia State University Teaching Hospital, Aba, Abia State, Nigeria., Twomey DE; Mile 4 Maternity Hospital, Abakaliki, Ebonyi State, Nigeria.
المصدر: Annals of African medicine [Ann Afr Med] 2017 Oct-Dec; Vol. 16 (4), pp. 175-180.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Medknow Publications Country of Publication: India NLM ID: 101231417 Publication Model: Print Cited Medium: Internet ISSN: 0975-5764 (Electronic) Linking ISSN: 09755764 NLM ISO Abbreviation: Ann Afr Med Subsets: MEDLINE
أسماء مطبوعة: Publication: Mumbai, India : Medknow Publications
Original Publication: Sokoto, Nigeria : [Zaria, Nigeria?] : Usmanu Danfodiyo University Teaching Hospital ; Annals of African Medicine Society
مواضيع طبية MeSH: Maternal Mortality* , Perinatal Mortality* , Rural Population*, Eclampsia/*epidemiology, Adult ; Eclampsia/etiology ; Eclampsia/prevention & control ; Female ; Fetal Death ; Fetal Growth Retardation ; Gestational Age ; Humans ; Infant, Newborn ; Nigeria/epidemiology ; Parity ; Postpartum Hemorrhage/epidemiology ; Pregnancy ; Pregnancy Outcome ; Prenatal Care ; Prevalence ; Retrospective Studies
مستخلص: Introduction: Eclampsia is one of the most dreaded causes of adverse outcomes of pregnancy worldwide. It is one of the greatest causes of maternal and perinatal morbidity and mortality world over. We do not know the prevalence, management outcome, and the devastation caused by this dreaded disease in our center hence the need for this work.
Materials and Methods: This is a 7-year retrospective review of all cases of eclampsia managed in Mater Misericordiae Hospital Afikpo, a rural secondary cum referral Catholic Mission Hospital in Afikpo, Ebonyi State in Southeastern Nigeria.
Results: The prevalence of eclampsia in our center is 1.12% or one case of eclampsia for every 89 women that delivered in our facility. The majority of the women that had eclampsia in our center 56 (71.8%) were primigravidae. Seventeen women (21.8%) had various antenatal complications with 4 or 23.6% presenting with intrauterine fetal deaths and two (11.8%) each with intrauterine growth restriction, and domestic violence, respectively. Thirty-five or 44.9% of the women were delivered by emergency lower segment cesarean section. Fifteen or 17.9% babies were dead giving a perinatal mortality rate of 174 per 1,000After delivery, and 3 (3.8%) of the women had postpartum hemorrhage. Two women (2.6%) died giving a maternal mortality ratio of 2564 per 100,000 deliveries.
Conclusion: Eclampsia is a dreaded obstetric disease with adverse fetal and maternal consequences that are not mitigating, and no effort should be spared in managing it effectively including public enlightenment.
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تواريخ الأحداث: Date Created: 20171025 Date Completed: 20180309 Latest Revision: 20181113
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC5676407
DOI: 10.4103/aam.aam_46_16
PMID: 29063901
قاعدة البيانات: MEDLINE
الوصف
تدمد:0975-5764
DOI:10.4103/aam.aam_46_16