The incidence of preeclampsia and eclampsia and associated maternal mortality in Australia from population-linked datasets: 2000-2008

Blood pressure assessment and first-line pharmacological agents in women with eclampsia

“…Improvement in antenatal care has been credited with reducing the rate of preeclampsia but why the number of cases of eclampsia is unchanged or increased over the same timeframe remains unclear. 11 Most cases of eclampsia occurred in the antenatal period, a number that appears consistent across studies. There were two cases of late (>48 h after delivery) postpartum eclampsia in our study.…”

“…The incidence of eclampsia in our study is higher than that reported in the UK of 2.7:10 000 births 9 and historical Australian data, 10 but similar to the reported incidence of eclampsia cases in Australia. 11 In Australia, a falling rate of preeclampsia matched by an increasing rate of eclampsia has been observed. This is in line with the World Health Organisation estimates but differs from the USA and Canada which report a steady rate of cases: 11 the reason for this situation is unclear.…”

“…No women in our study died as a result of eclampsia but many required admission to ICU and/or HDU. 10,11 The high risk to the infant is demonstrated by the fact that many neonates required respiratory support, some required tracheal intubation and there was one stillbirth.…”

Analysis Determinants of Postpartum Maternal Mortality at Sidoarjo Regency in 2012

“…Hal ini sejalan dengan temuan Thornton, et al (2013), yang menyatakan bahwa risiko wanita dengan pre-eklamsi atau eklamsia akan mengalami kematian pada dua belas bulan pertama setelah kelahiran sebesar 5,1 kali lebih besar bila dibandingkan wanita dengan tekanan darah normal.…”

How to assess and manage hypertension during and after pregnancy

“…First, this should avoid precipitating maternal hypotension with aggressive use of antenatal hypertensive agents and, second, avoid false reassurance that the woman no longer has a hypertensive disorder. One recent Australian dataset examining maternal mortality found the majority of eclamptic seizures to occur during labor (44.1%), with a substantial number (26.3%) occurring during the postnatal period (median day of postnatal seizure occurrence was day 4 [range: 1-55]) [64]. Therefore, midwives following up these women in the community must be aware of any antenatal hypertensive condition and should make appropriate referrals to obstetric units should postnatal BP or symptoms of pre-eclampsia/eclampsia occur.…”