PMID: 11921670Mar 30, 2002Paper

Maternal outcome in eclampsia at Harare Maternity Hospital

The Central African Journal of Medicine
F Majoko, C Mujaji

Abstract

To study the presentation, management and determinants of maternal outcome in eclampsia at Harare Maternity Hospital (HMH) in order to design interventions for reduction of maternal mortality. Cross sectional descriptive study. Harare Maternity Hospital, Harare, Zimbabwe. All women with diagnosis of eclampsia treated at HMH during an 18 month period. The study variables included age, parity, booking status, gestational age, location at time of first seizure, number of fits, seizure to delivery interval, maternal complications and the clinical management. There were 151 women with eclampsia from 25,425 deliveries in HMH (5.9 per 1,000 deliveries). The case fatality was 26.5%. The majority of fits (67.5%) occurred antepartum. The mothers who died were significantly older than the survivors, mean age 25.8 versus 22.3 (p = 0.007), and had a higher proportion of multiple seizures, 0.67 versus 0.39 (p = 0.009). In 38% of cases the first seizure occurred at home. The proportion of complications was higher among those who died. Deficiencies in clinical management were more common in the women who died, 39.5% versus 20.9% for survivors (OR 2.55; 95% CI 1.09 to 5.99) and they included delays in achieving delivery, inadequate clinical ass...Continue Reading

Citations

Mar 28, 2009·BMC Pregnancy and Childbirth·Hussein Lesio KidantoLennarth Nystrom
Nov 16, 2006·PLoS Medicine·Atis MuehlenbachsPatrick E Duffy

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