status did not put the patient at an increased risk of developing eclampsia. However, some authors have documented an increased risk of developing pregnancy-induced hypertension in employed women because of the stress these patients are under; however, these authors did not evaluate the effect of employment on the risk of convulsion [6]. Prenatal care and bed rest have been recommended as possible preventive measures or a way of delaying the onset of convulsions in pre-eclamptic women who come under this category [5]. Prenatal care awareness is invariably linked to the level of education of pregnant women. In a less educated region like the Far North of Cameroon-where the level of illiteracy is 67% among women aged 15-49 years, as reported in the 2004 Demographic and Health Survey-it is not surprising that 48.7% of the patients in the present study with these high-risk pregnancies had no formal education.In conclusion, teenage pregnancy, nulliparity, and low educational status were identified as risk factors for convulsion in women with pre-eclampsia. Further research is needed to explore the risk factors that are likely to have high predictive values for eclampsia. Identification of these factors, good prenatal surveillance, and institution of proper management will decrease feto-maternal morbidity and mortality associated with hypertensive disorders in pregnancy.
Conflict of interestThe authors have no conflicts of interest to declare.
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