Characteristics and outcomes of patients with eclampsia and severe pre-eclampsia in a rural hospital in Western Tanzania: a retrospective medical record study

BMC Pregnancy and Childbirth
Rob MooijJelle Stekelenburg

Abstract

Eclampsia and pre-eclampsia are well-recognized causes of maternal and neonatal mortality in low income countries, but are never studied in a district hospital. In order to get reliable data to facilitate the hospital's obstetric audit a retrospective medical record study was performed in Ndala Hospital, Tanzania. All patients diagnosed with severe pre-eclampsia or eclampsia between July 2011 and December 2012 were included. Medical records were searched immediately following discharge or death. General patient characteristics, medical history, obstetrical history, possible risk factors, information about the current pregnancy, antenatal clinic attendance and prescribed therapy before admission were recorded. Symptoms and complications were noted. Statistical analysis was done with Epi Info®. Of the 3398 women who gave birth in the hospital 26 cases of severe pre-eclampsia and 55 cases of eclampsia were diagnosed (0.8 and 1.6%). Six women with eclampsia died (case fatality rate 11%). Convulsions in patients with eclampsia were classified as antepartum (44%), intrapartum (42%) and postpartum (15%). Magnesium was given in 100% of patients with eclampsia and was effective in controlling convulsions. Intravenous antihypertensive tr...Continue Reading

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Citations

Dec 24, 2017·BMC Pregnancy and Childbirth·Ahmad MahranAhmed Abdelghany
Mar 1, 2019·PloS One·Netsanet Abera Asseffa, Birhanu Wondimeneh Demissie
Apr 11, 2020·BMC Pregnancy and Childbirth·Kenean Getaneh TlayeYared Asmare Aynalem
Mar 4, 2021·International Journal of Women's Health·Addisu Yeshambel Wassie, Walellign Anmut
Sep 25, 2021·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Rob MooijBregje C de Kok

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Excel®
Epi

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