Predictors of eclampsia among preeclamptic patients: a case control study in Yaounde, Cameroon

Fouedjio, Jeanne Hortence; Foumane, Pascal; Fouogue, Jovanny Tsuala; Ndenga, Veronique Jordane Mboua; Fouelifack, Florent Ymélé; Bissene, Agnès Esiene à; Nana, Paul Alain; Fouelifa, Loïc Dongmo; Mbu, Robinson Enow; Mboudou, Emile Télesphore

doi:10.18203/2320-1770.ijrcog20162094

Cited by 3 publications

(3 citation statements)

References 6 publications

(6 reference statements)

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“…A study done in Germany in 2011 found an association of PE with socioeconomic status. In fact, PE occurred more in pregnant women who were jobless or had low-income jobs than in women who had high-income jobs[25].• Marital statusSingle or cohabiting women were the most affected with 70% of cases, which matches the results reported by Fouedjio et al with a proportion of 73.3%[22]. However, these figures are much lower than those found by Diallo et al in Guinea Conakry and Tshabu-Aguemon in Benin; 97.7% and 98.2% respectively[16] Primiparas and nulliparas predominated in our series (54.7%) followed by pauciparas (28.5%).…”

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confidence: 83%

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Factors Associated with Maternal and Perinatal Complications of Preeclampsia at the Central Hospital of Yaoundé: A Cross-Sectional Analytical Study

Hortence¹,

Manuella²,

Cliford³

et al. 2022

OJOG

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Introduction: Pre-eclampsia (PE) is a public health problem especially in developing countries due to its incidence and severity. It is responsible for high maternal and perinatal morbidity and mortality. Accordingly, the objective of this work was to study the factors associated with the occurrence of maternal and perinatal complications of preeclampsia. Method: This was an analytical cross-sectional study with prospective and retrospective data collection including all patients, pregnant or postpartum, admitted for preeclampsia to the maternity ward of the Yaoundé Central Hospital. It took place over a period of seven (07) months. The data collected was analyzed using CS Pro 7.4, SPSS 20.0 and Microsoft Office Excel 2010 software. We compared the group with complications to the group without complications. We calculated the odds ratio to look for associations between variables and their 95% confidence intervals. The threshold for statistical significance was set at p < 0.05. Results: We recruited 214 cases of preeclampsia in our series. There were maternal complications in 44.4% of cases, dominated by eclampsia (31.8%). We recorded 07 maternal deaths, representing a maternal lethality of 3.3%. We had at least one perinatal complication in 105 cases (49.1%). The predominant perinatal complication was prematurity. We recorded 32 cases of intrauterine fetal demise and 13 cases of early neonatal death, giving

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confidence: 83%

“…The age group of 25 -30 years was the most affected with a frequency of 23.8%. Fouedjio et al in three maternity wards in Yaoundé, found a frequency of 30% in this group[22]. This age group This is in line with data from the literature which show that the risk of PE is higher in homemakers or women with a low level of education[17] [22][24].…”

supporting

confidence: 81%

Factors Associated with Maternal and Perinatal Complications of Preeclampsia at the Central Hospital of Yaoundé: A Cross-Sectional Analytical Study

Hortence¹,

Manuella²,

Cliford³

et al. 2022

OJOG

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“…Convulsions in women in labour are diversely described in literature. The frequency was lower in France as described by Ducarme 36 but markedly elevated in Africa with rates between 27 and 36%, 14,17,39 giving the impression of an african peculiarity. The mean age of onset of post-partum eclampsia was 2.2 days, with a frequency of 22.5% in our study.…”

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confidence: 67%

Eclampsia in African Milieu, Yaounde-Cameroon: epidemiology, seasonal variations and treatment regimen

Essiben¹

2019

OGIJ

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Background: In our context, eclampsia is a major cause of maternal death. Patients are often sent to referral hospitals for optimal care because of the scarcity of resources in peripheral health facilities. We study characteristics of eclampsia the Yaounde Gynaeco-Obstetric and Paediatric Hospital (YGOPH) in order to prioritize our resources. Methodology: We carried out a retrospective cross-sectional descriptive study from December 2017 to April 2018 at YGOPH. All women managed for eclampsia over the preceding 10 years, from May 1st 2008 to April 30th 2018, were included in the study. We evaluated the seasons of disease occurrence, socio-demographic and clinical characteristics on admission and treatment regimen. We analysed our data using Epi info 7.0. Results: The frequency of eclampsia was 0.96% (151/25680). The mean age of patients was 23.95±6,02 years. Singles (73.5%), housewives (40.4%) and nulliparous patients (54.9%) were the most represented. The disease occurred more frequently during the major rainy season (43.7%). Patients were most often referred cases (70.2%). Eclampsia occurred mostly antepartally (70.3%). Hypertension was most often severe (83.45%). Nicardipine was the most used antihypertensive medication (76.8%) and magnesium sulphate was the anti-convulsant of choice (98.0%). The majority of women delivered by caesarean section (77.8%). HELLP syndrome was the most common maternal complication (9.9%), while prematurity was the most frequent fetal complication (58.9%). The maternal and neonatal mortality rates were 8.6% and 24.4%, respectively. Conclusion: Eclampsia remains an important cause for concern as it results in non-negligible morbidity and mortality. It is therefore important to promote and reinforce antenatal care for pregnant women while taking into consideration the seasonal variations of the disease.

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Clinical Presentation, Management and Materno-Fetal Outcome of Patients with HELLP Syndrome at the Yaoundé Gyneco-Obstetrics and Pediatric Hospital

Yimlefack,

Pascal,

Sama

et al. 2023

OJOG

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Predictors of eclampsia among preeclamptic patients: a case control study in Yaounde, Cameroon

Cited by 3 publications

References 6 publications

Factors Associated with Maternal and Perinatal Complications of Preeclampsia at the Central Hospital of Yaoundé: A Cross-Sectional Analytical Study

Factors Associated with Maternal and Perinatal Complications of Preeclampsia at the Central Hospital of Yaoundé: A Cross-Sectional Analytical Study

Eclampsia in African Milieu, Yaounde-Cameroon: epidemiology, seasonal variations and treatment regimen

Clinical Presentation, Management and Materno-Fetal Outcome of Patients with HELLP Syndrome at the Yaoundé Gyneco-Obstetrics and Pediatric Hospital

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Predictors of eclampsia among preeclamptic patients: a case control study in Yaounde, Cameroon

Cited by 3 publications

References 6 publications

Factors Associated with Maternal and Perinatal Complications of Preeclampsia at the Central Hospital of Yaound&#233;: A Cross-Sectional Analytical Study

Factors Associated with Maternal and Perinatal Complications of Preeclampsia at the Central Hospital of Yaound&#233;: A Cross-Sectional Analytical Study

Eclampsia in African Milieu, Yaounde-Cameroon: epidemiology, seasonal variations and treatment regimen

Clinical Presentation, Management and Materno-Fetal Outcome of Patients with HELLP Syndrome at the Yaound&#233; Gyneco-Obstetrics and Pediatric Hospital

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Product

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Factors Associated with Maternal and Perinatal Complications of Preeclampsia at the Central Hospital of Yaoundé: A Cross-Sectional Analytical Study

Factors Associated with Maternal and Perinatal Complications of Preeclampsia at the Central Hospital of Yaoundé: A Cross-Sectional Analytical Study

Clinical Presentation, Management and Materno-Fetal Outcome of Patients with HELLP Syndrome at the Yaoundé Gyneco-Obstetrics and Pediatric Hospital