Maternal and fetal outcome in patients with eclampsia at Murtala Muhammad specialist Hospital Kano, Nigeria

Yakasai, Ibrahim Adamu; Gaya, Sule A

doi:10.4103/1596-3519.87049

Cited by 24 publications

(25 citation statements)

References 13 publications

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“…Study done in Jima University hospital western part of Ethiopia reported 12.2% OL cases. Similarly, study done in Western Uganda and Nigeria reported 10% of OL cases [14,17,18]. But, the finding of this study is higher than study done in Adigrat Hospital (3.3%) in Northern Ethiopia [9].…”

Section: Discussioncontrasting

confidence: 56%

Magnitude of Obstructed Labor and Associated Risk Factors among Mothers Come for Delivery Service in Adama Hospital Medical College, Oromia Regional State, Central Ethiopia

Gudina¹

2016

JGO

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Abstract:Background: Obstructed labor is one of the common preventable causes of maternal and perinatal morbidity and mortality in developing countries. In the last decade among the top four causes of maternal mortality, obstructed labor /uterine rupture accounted for 36% of maternal mortality in Ethiopia. The aim of this study was to determine magnitude of obstructed labor and its associated risk factors among mothers come for delivery services in Adama Hospital Medical College from June 01 to July 30, 2015. Methods: Hospital-based cross-sectional study was employed. Descriptive statistics was used to summarize socio-demographic variables and characteristics of delivery. Using binary logistic regression analysis, Odds ratio and confidence interval were used to determine statistically associated risk factors with obstructed labor. Result: Of 384 deliveries during the study period 9.6% were obstructed labor cases. The causes of obstructed labor identified by clinician on mother medical record were CPD (54.1%), mal-position (29.7%) and mal-presentation 16.2%). The independent predictors of obstructed labor using logistic regression analysis were duration of labor before arrival to the health facility greater than 24 hour (OR: 6.2; 95%CI: 2.7, 14.2), 4 to 6 hours of travel to health facility (OR: 2.9; 95%CI: 1.1, 10.6), malpresentation (OR: 6; 95%CI: 1.7, 12.8) and fetal weight greater than 4 Kilo gram (OR: 11.2; 95%CI: 2.4, 13.2). Conclusion: magnitude of OL is comparatively higher, especially among mothers of low educational status. Socio-demographic and health system factors increase the risk of obstructed labor. As most of the risk factors associated with obstructed labor need long term exposure for the outcome to be seen, prevention need inter sectoral collaboration from education, agriculture, health and other social sectors.

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Section: Discussioncontrasting

confidence: 56%

Magnitude of Obstructed Labor and Associated Risk Factors among Mothers Come for Delivery Service in Adama Hospital Medical College, Oromia Regional State, Central Ethiopia

Gudina¹

2016

JGO

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“…Nevertheless, poor maternal outcome when patients present after 12 hours following the onset of convulsion and when they have antepartum eclampsia was also reported [30], similar to what was observed in the patient in this case report. Mortality due to eclampsia is commonly seen in young women in their first pregnancies and in elderly women of higher parity; this may be attributed to their poor adjustments to the stress of pregnancy, as well as low rates of antenatal visits and illiteracy.…”

Section: Discussionsupporting

confidence: 87%

Management of Eclampsia in an Unbooked Primigravida: A Case Report Showing the Impact of Cultural and Socio-Economic Factors on Health Outcomes

Obaseki¹,

Emeto²

2015

Int J Clin Case Stud

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Eclampsia is characterised by the occurrence of one or more generalised tonic-clonic seizures in patients with severe preeclampsia in the absence of other neurologic conditions. The clinical features of eclampsia can present at any time during pregnancy, but are more common from the second trimester to the puerperium. This report presents the challenges encountered in the management of eclampsia in a remote setting of a developing country and the influence of cultural and socio-economic factors on health outcomes associated with this condition.

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“…7 Yakasai et al reported a mean age of 20.6 and SD of 5 years. 8 Kaur et al also reported 20-25 years age group of 50% of their cases. 9 Our results are comparable with these studies.…”

Section: 5mentioning

confidence: 94%

Eclampsia: maternal and perinatal outcomes in a tertiary care centre

Mor

Sirohiwal

Hooda

2015

Int J Reprod Contracept Obstet Gynecol

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Maternal and fetal outcome in patients with eclampsia at Murtala Muhammad specialist Hospital Kano, Nigeria

Abstract: The incidence of eclampsia is 5% of total deliveries. Delay in presentation is associated with poor outcome.

Cited by 24 publications

References 13 publications

Magnitude of Obstructed Labor and Associated Risk Factors among Mothers Come for Delivery Service in Adama Hospital Medical College, Oromia Regional State, Central Ethiopia

Magnitude of Obstructed Labor and Associated Risk Factors among Mothers Come for Delivery Service in Adama Hospital Medical College, Oromia Regional State, Central Ethiopia

Management of Eclampsia in an Unbooked Primigravida: A Case Report Showing the Impact of Cultural and Socio-Economic Factors on Health Outcomes

Eclampsia: maternal and perinatal outcomes in a tertiary care centre

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