Severe Pre-Eclampsia and Eclampsia in the Service of Obstetrics and Gynecology of Regional Teaching Hospital of Ouahigouya (RTHO): Clinical, Therapeutic and Evolutive Aspects

Abstract

We present a study to the clinical, therapeutic and evolutive aspects of severe pre-eclampsia and eclampsia in the service of obstetrics and gynaecology of regional teaching hospital of Ouahigouya. We have conducted a descriptive and analytical study with retrospective data collection within 3 years, from 1 st January 2013 to 31 st December 2015. We have recorded 5791 deliveries out of which 261 were included giving a rate of 4.51% (61 cases of eclampsia 1.05%, 200 cases of severe pre-eclampsia, 3.45%). The most affected patients were the women with age ranging between 16-20 years (33.3%), the nulliparous women (24.2%), the multiparous women (25.5%), married women (84%) and those without renumbering activity (86.6%). Maternal prognosis was dominated by a morbidity linked to fever (24.8%), coma (21.7%) and acute kidney failure (14.9%). Maternal lethality rate was 1.92% and the fetal mortality was 24.6%.