Prevalence, management and outcome in eclampsia

Abstract

Eclampsia is still a serious obstetric complication particularly in uneducated women who do not receive antenatal care.

Management of eclampsia at Assiut University Hospital, Egypt

“…In the present study the maternal mortality rate was 4.1%, which is nearly 50% lower than previous results at our institute [10]. Other studies have reported mortality rates ranging from as low as 2.9% [17], 3.3% (a population of eclamptic patients who were moribund at admission) [18], 9.5% [19], and 13% [3] to as high as 23.3%. Onuh and Aisien [20] reported a case fatality rate of 10.7% (11 Table 2 Changes in blood pressure after use of nifedipine among the different groups of patients.…”

“…The incidence of cesarean delivery was 76.7% among all groups in the present study as compared with values of 50.12% to 60% in previous reports [16,19]. At Assiut University Hospital, cesarean delivery is preferred for eclamptic patients.…”

“…These findings are low in comparison to other studies: with the exception of Taner et al [19], who recorded a high perinatal mortality of 59.1%, reported values vary from 1 among 14 cases [21], to 6.4% [12] or 193 per 1000 [17]. Mortality was mostly related to either abruptio placentae or extreme prematurity [3].…”

Soixante-neuf éclampsies consécutives : signes annonciateurs et circonstances de survenue

“…Nous avons comparé nos résultats à ceux de la littérature (Tableau 6). L'étude de Ducarme et al [8] concernait une maternité de France métropolitaine de niveau IIb, celle de Katz et al [11] deux centres de niveau III de Caroline du Nord, l'étude de Ben Salem et al [19] un centre universitaire de Tunisie et celle de Taner et al [20] un centre médical de référence turc, prenant en charge une population très défavorisée.…”

Gestose und HELLP-Syndrom

“…Die Gestose ist eine schwere Komplikation der Schwangerschaft, durch die Mutter und ungeborenes Kind erheblich gefährdet sind [17]. Die Prognose und der Verlauf der Erkrankung sind zudem für den Einzelfall nicht vorhersehbar.…”