دورية أكاديمية
Prevalence, Risk Factors, Maternal and Perinatal Outcome of Patients with Eclampsia in University of Maiduguri Teaching Hospital, Maiduguri, Nigeria: A 15-Year Retrospective Review.
العنوان: | Prevalence, Risk Factors, Maternal and Perinatal Outcome of Patients with Eclampsia in University of Maiduguri Teaching Hospital, Maiduguri, Nigeria: A 15-Year Retrospective Review. |
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المؤلفون: | Geidam AD; Department of Obstetrics and Gynaecology, College of Medical Sciences, University of Maiduguri, Borno State, Nigeria., Atterwahmie A; Department of Obstetrics and Gynaecology, Federal Medical Centre, Birnin Kudu, Nigeria., Usman A; Department of Obstetrics and Gynaecology, University of Maiduguri Teaching Hospital, Maiduguri , Borno State, Nigeria., Idrisa A; Department of Obstetrics and Gynaecology, College of Medical Sciences, University of Maiduguri, Borno State, Nigeria. |
المصدر: | West African journal of medicine [West Afr J Med] 2023 Jan 30; Vol. 40 (1), pp. 97-103. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: West African College Of Physicians And West African College Of Surgeons Country of Publication: Nigeria NLM ID: 8301891 Publication Model: Print Cited Medium: Print ISSN: 0189-160X (Print) Linking ISSN: 0189160X NLM ISO Abbreviation: West Afr J Med Subsets: MEDLINE |
أسماء مطبوعة: | Publication: Lagos : West African College Of Physicians And West African College Of Surgeons Original Publication: [Yaba, Lagos, Nigeria] : West African College of Physicians and West African College of Surgeons, [1981- |
مواضيع طبية MeSH: | Eclampsia*/epidemiology, Infant, Newborn ; Pregnancy ; Humans ; Female ; Nigeria/epidemiology ; Pregnancy Outcome/epidemiology ; Cesarean Section ; Retrospective Studies ; Prevalence ; Coma ; Hospitals, Teaching ; Maternal Mortality ; Risk Factors |
مستخلص: | Background: Eclampsia, defined as the occurrence of generalised, tonic-clonic convulsions or coma that is unrelated to other medical conditions in a woman with hypertensive disorder of pregnancy, is a leading cause of maternal and perinatal morbidity and mortality. Methods: Retrospective review of cases of eclampsia managed over 15 years (2006 to 2020) at the University of Maiduguri Teaching Hospital, Borno State, Nigeria. Factors associated with adverse maternal and perinatal outcomes were determined using appropriate bivariate analysis. Statistical significance was set at P < 0.05. Results: The prevalence of eclampsia was 2.96%. Most of the patients, 55.2% (420/761) were >35 years, 76% (579/761) were primigravidae and 80.4% (612/761) were unbooked. In 59.1% (450/761) of the cases, the eclampsia was antepartum and 40.3% (301/761) were delivered through a caesarean section. The commonest risk factor was previous eclampsia. There were 58(7.6%) maternal deaths, and the perinatal mortality was 18.1% (138/761). There was a statistically significant association between adverse maternal outcomes and having no formal education (P<0.001), being unemployed (P<0.001), being in coma for >10 hours(P=0.029), caesarean delivery (P<0.001), SBP >160mmHg (P<0.001) and DBP >110mmHg (P<0.001). Adverse perinatal outcome was significantly associated with having no formal education (P<0.001), being unemployed (P=0.004), unbooked status (P=0.015), multiple pregnancy (P=0.021), preterm delivery(P<0.001), caesarean delivery (P=0.012) and Systolic BP >160mmHg (P<0.001). Conclusion: The prevalence of eclampsia is high. Having no formal education, unemployment, coma of 10 hours or more, vaginal delivery and severe hypertension, unbooked status, and multiple gestation are significantly associated with poor maternal or fetal outcomes. Competing Interests: The Authors declare that no competing interest exists (Copyright © 2023 by West African Journal of Medicine.) |
فهرسة مساهمة: | Keywords: Eclampsia; Maternal outcome; Perinatal outcome; Prevalence; Risk factors Local Abstract: [Publisher, French] L’éclampsie, définie comme la survenue de convulsions tonico-cloniques généralisées ou d’un coma sans rapport avec d’autres conditions médicales chez une femme atteinte d’un trouble hypertensif de la grossesse, est une cause majeure de morbidité et de mortalité maternelles et périnatales. [Publisher, French] Examen rétrospectif des cas d’éclampsie pris en charge sur 15 ans (2006 à 2020) à l’hôpital universitaire de Maiduguri, État de Borno, Nigéria. Les facteurs associés aux issues maternelles et périnatales indésirables ont été déterminés à l’aide d’une analyse bivariée appropriée. La signification statistique a été fixée à P < 0,05. [Publisher, French] La prévalence de l’éclampsie était de 2,96 %. La plupart des patients, 55,2 % (420/761) >35 ans, 76 % (579/761) étaient Primigravidés et 80,4 % (612/761) non réservés. Dans 59,1 % (450/761) des cas, l’éclampsie était antepartum et 40,3 % (301/761) ont été accouchés par césarienne. Le facteur de risque le plus courant était une éclampsie antérieure. Il y avait 58 (7,6%) décès maternels et la mortalité périnatale était de 18,1% (138/761). Il y avait une association statistiquement significative entre les issues maternelles défavorables et l’absence d’éducation formelle (P<0,001), le chômage (P<0,001), le coma pendant >10 heures (P=0,029), l’accouchement par césarienne (P<0,001), PAS > 160 mmHg (P<0,001) et PAD ed110 mmHg (P<0, 001). Les résul t at s péri nataux i ndési rabl es ét ai ent significativement associés à l’absence d’éducation formelle (P<0,001), au chômage (P=0,004), au statut non réservé (P=0,015), à la grossesse multiple (P=0,021), à l’accouchement prématuré (P<0,001), à la césarienne accouchement (P=0,012) et TA systolique >160mmHg (P<0,001). [Publisher, French] La prévalence de l’éclampsie est élevée. L’absence d’éducation formelle, le chômage, le coma de 10 heures ou plus, l’accouchement vaginal et l’hypertension sévère, le statut non réservé et la grossesse multiple sont significativement associés à de mauvais résultats maternels ou fœtaux. [Publisher, French] Eclampsie, Issue maternelle, Issue périnatale, Prévalence, Facteurs de risque. |
تواريخ الأحداث: | Date Created: 20230131 Date Completed: 20230201 Latest Revision: 20230202 |
رمز التحديث: | 20231215 |
PMID: | 36718654 |
قاعدة البيانات: | MEDLINE |
تدمد: | 0189-160X |
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